Association of interruptions with an increased risk and severity of medication administration errors. Westbrook JI, Woods A, Rob MI, Dunsmuir WT, Day RO. Effect of simply recording colonoscopy withdrawal time on polyp and adenoma detection rates. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Adenoma detection rate and risk of colorectal cancer and death. Maximizing detection of adenomas and cancers during colonoscopy. Variation in colonoscopic technique and adenoma detection rates at an academic gastroenterology unit. Can we improve adenoma detection rates? A systematic review of interventional studies.
Further studies are needed to evaluate whether lower distraction levels in an endoscopy suite translate to improved quality measures.Ĭorley DA, Jensen CD, Marks AR. ConclusionsĬreation of a NIZ was associated with a significant decrease in high-distraction environments and shorter withdrawal times with no significant change in ADRs. There was no significant difference in ADRs (38 % baseline vs. There was a significant decrease in withdrawal time with NIZs (10.6 vs. The implementation of the NIZ leads to a significant reduction of high-distraction-level environments (13.1 vs. Distraction levels, withdrawal times, and ADRs were analyzed at baseline and after the NIZ.
The intervention, a NIZ, was created by limiting conversations to the care of the patient undergoing the procedure and posting a “do not disturb” sign during the withdrawal phase of colonoscopy. This was a non-randomized prospective study of screening colonoscopies at a teaching hospital. AimsĪssess the effects of a NIZ during colonoscopy, on distraction levels, withdrawal times, and adenoma detection rates (ADRs). To date, the effect of a NIZ during colonoscopy has not been evaluated. The creation of no interruption zones (NIZs) reduces medical errors by reducing distraction levels on hospital wards.
0 kommentar(er)
