Practice Management

  • Carbon Dioxide Insufflation

    September 29, 2023

    To determine if the use of Carbon Dioxide for GI insufflation will decrease the patient complaints of abdominal pain and cramping can be discharged to home after his or her procedure sooner.

  • Adequacy of the Use of Disinfection Wipes for Stretchers and Procedure Room Surfaces

    September 29, 2023

    The organization reviewed the adequacy of the use of Brand A wipes in the contact cleaning of stretchers and procedure room surfaces between cases.

  • Adenoma Detection Rate and Recommended Follow Up Intervals

    September 29, 2023

    The gap in quality of care that we studied is the lack of a standard recommended time for repeating a colonoscopy in patients who present for colon cancer screening but have inadequate bowel prep.

  • Patient Wait Time Prior To Procedure

    September 29, 2023

    This study will identify all procedures performed at the unit during a sample time period to calculate the average total patient wait time from the arrival/check in process at the front desk.

  • Screening Colonoscopy After a Positive Stool-based Test

    September 29, 2023

    In the United States, it is estimated that more than 52,000 people will die of colorectal cancer in 2022, and roughly 151,000 new cases will be diagnosed.

  • Tracking Abnormal Fecal Immunochemical Tests

    September 29, 2023

    There is not a clearly defined process for follow-up in patients with a positive FIT ordered by primary care. Among patients with an abnormal FIT result, between 1 in 10 and 1 in 30 have colorectal cancer (CRC).

  • Blood Thinner Clearance Tracking and Follow-up

    September 29, 2023

    The surgery center's management and Quality Assurance (QA) Committee noticed a significant disparity in requests for pre-procedure blood thinner clearances (BTCs) for patients receiving anticoagulation therapy and responses from prescribing physicians.

  • Eliminating Hot Biopsy Forceps for Diminutive Polyps

    September 29, 2023

    Our newest improvement project was to eliminate the use of hot biopsy forceps for diminutive polyps. Over the years, the number of providers using this method has decreased; however, there were still a few using it.

  • Safe Exiting From the Building

    September 29, 2023

    A gap was identified in quality of care around a safe exit from the building. The focus of our study surrounded optimal patient safety and satisfaction in relation to the discharge exit.

  • No-Show Quality Improvement Project

    September 29, 2023

    The practice has seen an increased percentage of no-shows across all physicians over the past several months. No-show means any patient who fails to arrive for a scheduled procedure appointment.

  • Appropriate Scheduling of Patients in an Ambulatory Surgery Center

    September 29, 2023

    Appropriate scheduling of endoscopy patients in an ASC is critical in providing safe quality care. Rescheduling due to patient complexity is costly to the patients, families and ASC.

  • Adenoma Detection Rate and Artificial Intelligence

    September 29, 2023

    This quality project aimed to improve adenoma detection rate (ADR) by integrating AI-assisted colonoscopy. Data from control and experimental groups showed a 38.46% increase in ADR, surpassing the 1015% goal.

  • Colonoscopy Preparation

    September 29, 2023

    During physician peer review meetings in January 2021, physicians reported a significant increase in incomplete and aborted colonoscopies due to suboptimal bowel cleanses in the past three months.

  • Improving Documentation of Cecal Intubation

    September 29, 2023

    Complete and accurate documentation is an important part of medical care. [Our endoscopy center] aims to provide and document care that meets the recommendations of the 順秞湮圖 and ACG, as well as others.

  • Endoscopy Staff GI Knowledge

    September 28, 2023

    It was observed by the endoscopy nurse manager that the endoscopy unit staff lacked general gastroenterology knowledge due to previously working in other medical fields, thus the gap in quality care was staff being unknowledgeable.