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Can I read Sustained Colonoscopy Quality Improvement Using a Simple Intervention Bundle on EtoBox?

Sustained Colonoscopy Quality Improvement Using a Simple Intervention Bundle by Neilson, Laura J.; East, James E.; Rajasekhar, Praveen T.; Bassett, Paul; Dunn, Simon; Bevan, Roisin; Paremal, Shyju; Esmaily, Shiran; Rees, Colin J. is a Medicine article available to read on EtoBox.

What is Sustained Colonoscopy Quality Improvement Using a Simple Intervention Bundle about?

## Background: Unacceptable variation in colonoscopy quality exists. the quality improvement in colonoscopy (qic) study in 2011 improved quality by introducing an evidence-based "bundle" of measures into routine colonoscopy practice. the qic bundle included: minimal cecal withdrawal time of ≥ 6 minutes; hyoscine butylbromide use; supine patient position for transverse colon examination; rectal retroflexion. colonoscopy quality was measured by adenoma detection rate (adr). the current study measured whether these effects led to a sustained change in practice 3 years following implementation. ## Methods: This observational study collected data from eight hospital trusts (sites) in the united kingdom for a 6-month period, 3 years following qic bundle implementation. use of the antispasmodic, hyoscine butylbromide, was measured as a marker of bundle uptake. bundle effectiveness was measured by adr change. comparisons were made between data before and immediately after implementation of the bundle. ## Results: 28 615 colonoscopies by 188 colonoscopists were studied. hyoscine butylbromide use increased from 15.8 % pre-implementation to 47.4 % in the sustainability phase ( < 0.01) indicat

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Author
Neilson, Laura J.; East, James E.; Rajasekhar, Praveen T.; Bassett, Paul; Dunn, Simon; Bevan, Roisin; Paremal, Shyju; Esmaily, Shiran; Rees, Colin J.
Publisher
Thieme Medical Publishers; Georg Thieme Verlag KG; Georg Thieme Verlag (ISSN 0013-726X)
Published
2020
Language
EN
Field
Medicine (Health Sciences)

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