Quality Colonoscopy, An Issue of Gastrointestinal Endoscopy Clinics

Author: Allen   John I.  

Publisher: Elsevier Health Sciences‎

Publication year: 2010

E-ISBN: 9781455700318

Subject: R5 Internal Medicine

Language: ENG

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Chapter

RISK MANAGEMENT PROGRAM

SUMMARY

REFERENCES

Chapter 2. Reducing Infection Risk in Colonoscopy

POTENTIAL INFECTION RISKS DURING COLONOSCOPY

MECHANISM OF TRANSMISSION AND LEVEL OF RISK

SPECIFIC STEPS AND METHODS TO REDUCE INFECTION RISK IN THE ENDOSCOPY UNIT

RELATED ISSUES IN REPROCESSING

REQUIREMENTS FOR THE AMBULATORY SURGERY CENTER, OFFICE ENDOSCOPY, AND HOSPITAL ENDOSCOPY UNIT: DOCUMENTATION AND QUALITY ASSURANCE

SUMMARY

REFERENCES

Chapter 3. Sedation Issues in Quality Colonoscopy

SEDATION FOR COLONOSCOPY: AN INTERNATIONAL PERSPECTIVE

THE ECONOMIC IMPLICATIONS OF SEDATION

SEDATION AND THE QUALITY OF COLONOSCOPY

DOES SEDATION IMPROVE PATIENT SATISFACTION?

SEDATION AND THE RISK OF COMPLICATIONS DURING COLONOSCOPY

SUMMARY

REFERENCES

Chapter 4. Management of High-Risk Colonoscopy Patients

MANAGEMENT OF INDIVIDUALS WITH THE LYNCH SYNDROME (HEREDITARY NONPOLYPOSIS COLORECTAL CANCER)

MANAGEMENT OF INDIVIDUALS WITH FAMILIAL ADENOMATOUS POLYPOSIS

MANAGEMENT OF INDIVIDUALS WITH OTHER POLYPOSIS SYNDROMES

MANAGMENT OF INDIVIDUALS WITH INFLAMMATORY BOWEL DISEASE

REFERENCES

Chapter 5. Maximizing the Value of the Endoscopist– Pathologist Partnership in the Management of Colorectal Polyps and Carcinoma

CURRENT CONCEPTS OF THE PATHOLOGY OF COLON POLYPS AND CANCERS

CONVENTIONAL ADENOMAS (CIMPL–, PREDOMINANTLY APC MUTATED)

SERRATED POLYPS OF THE LARGE INTESTINE (HYPERPLASTIC POLYPS AND SERRATED ADENOMAS)

RECOMMENDED SURVEILLANCE INTERVALS FOR SESSILE SERRATED ADENOMAS

INVASIVE CARCINOMA IN ADENOMA

LYNCH SYNDROME AND MSI TESTING

REFERENCES

Chapter 6. Complications of Colonoscopy: Magnitude and Management

SERIOUS GASTROINTESTINAL COLONOSCOPY COMPLICATIONS

LESS SEVERE ADVERSE EVENTS

SEDATION-RELATED AND CARDIOVASCULAR COMPLICATIONS

COMPLICATIONS RELATED TO BOWEL PREPARATION

MISCELLANEOUS COMPLICATIONS

RISK FACTORS FOR SERIOUS COLONOSCOPY COMPLICATIONS

PREVENTION OF COMPLICATIONS

MANAGEMENT OF COMPLICATIONS

SUMMARY

REFERENCES

Chapter 7. Efficacy and Effectiveness of Colonoscopy: How Do We Bridge the Gap?

THE EFFICACY OF COLONOSCOPY FOR ADENOMA DETECTION

FACTORS LIMITING THE EFFECTIVENESS OF COLONOSCOPY

DEFINING THE TRUE EFFICACY OF COLONOSCOPY

BRIDGING THE GAP: IMPROVING THE EFFECTIVENESS OF COLONOSCOPY

SUMMARY

REFERENCES

Chapter 8. Colonoscopy Reports and Current State of Performance Measures

COLONOSCOPY REPORTS

PERFORMANCE MEASURES

SUMMARY

REFERENCES

Chapter 9. Advanced Systems to Assess Colonoscopy

INTRODUCTION: PREVENTION OF COLORECTAL CANCER BY COLONOSCOPY

THE PROBLEM WITH COLONOSCOPY: NOT ALL COLORECTAL CANCERS ARE PREVENTED

ASSUMPTIONS: FACTORS THAT MAY EXPLAIN FAILURES OF COLONOSCOPY

DEFINING QUALITY OF COLONOSCOPY

ENDOSCOPIC MULTIMEDIA INFORMATION SYSTEM

EMIS RESULTS

FUTURE PLANS

SUMMARY

ACKNOWLEDGMENTS

REFERENCES

Chapter 10. The Use of Databases and Registries to Enhance Colonoscopy Quality

THE USE OF LARGE DATABASES TO ENHANCE QUALITY: THE NATIONAL HEALTHCARE QUALITY REPORT EXAMPLE

CHALLENGES IN THE USE OF ADMINISTRATIVE DATA

USING ADMINISTRATIVE DATA FOR MEASUREMENT OF INDIVIDUAL PHYSICIAN QUALITY OF CARE: THE CENTERS FOR MEDICARE AND MEDICAID SERVICES EXAMPLE

COMPLETENESS AND ACCURACY OF DATA IN CLINICAL REGISTRIES

USING ELECTRONIC HEALTH RECORD DATABASES TO ENHANCE QUALITY

ELECTRONIC REPORTING SOFTWARE FOR GASTROINTESTINAL ENDOSCOPY: THE CLINICAL OUTCOMES RESEARCH INITIATIVE EXPERIENCE

CURRENT CHALLENGES IN THE USE OF EHR DATA FOR ENHANCING QUALITY

SUMMARY

REFERENCES

Chapter 11. Defining an Episode of Care for Colonoscopy: Work of the High Value Health Care Project Characterizing Episodes and Costs of Care

MEASURING RESOURCE USE AND COSTS OF CARE

BUILDING AN EPISODE OF CARE FOR COLONOSCOPY

COLONOSCOPY EPISODE-OF-CARE COHORT DEFINITION

CAPTURING RESOURCE USE RELATED TO COLONOSCOPY

RESULTS

DISCUSSION

SUMMARY

ACKNOWLEDGMENTS

REFERENCES

Chapter 12. Cost-effectiveness of Colonoscopy

RECOMMENDATIONS FOR CRC SCREENING FROM 3 ORGANIZATIONS

COMPARATIVE EFFECTIVENESS RESEARCH TO COMPARE CRC SCREENING TESTS

MICROSIMULATION MODELING TO INFORM HEALTH POLICY

STUDY POPULATION

TEST STRATEGIES

CRC SCREENING TEST CHARACTERISTICS

COSTS

CEA

LIMITATIONS OF COST ESTIMATES

SENSITIVITY ANALYSIS

COST-EFFECTIVENESS SUMMARY

DO WE ACHIEVE THESE BENCHMARKS IN COMMUNITY PRACTICE?

CURRENT SCREENING GUIDELINES: DIFFERENCES AND COST IMPLICATIONS

REFERENCES

Chapter 13. Maximizing the Value of Colonoscopy in Community Practice

HEALTH VALUE = QUALITY/COST

HISTORICAL CONSIDERATIONS OF SCREENING COLONOSCOPY

QUALITY ISSUES FOR COLONOSCOPY IN 2010

COST ISSUES IN COLONOSCOPY IN 2010

ALTERNATIVE APPROACHES TO ENHANCING VALUE OF COLONOSCOPY

PRACTICE LEVEL QUALITY AND PRICE TRANSPARENCY

STATE INITIATIVES

BUNDLED PAYMENT METHODOLOGIES

DIGESTIVE HEALTH OUTCOMES REGISTRY

SUMMARY

REFERENCES

Index

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