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GASTRINTESTINAL ENDOSCOPY

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gastroscopy 86. flexible sigmoidoscopy 43. colonoscopy 13. STAFFING. Two endoscoping consultants/100,000 pop. Average total/unit is 6.3(includes surgeons) ... – PowerPoint PPT presentation

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Title: GASTRINTESTINAL ENDOSCOPY


1
GASTRINTESTINAL ENDOSCOPY
  • THE IDEAL AND THE REALITY
  • Dr I Barrison

2
The push for quality
  • ACCESS
  • -waiting times
  • -protocols/guidelines
  • -consent/information
  • -patient-centred

3
COMPETENCE
  • -JAG
  • -training the trainers
  • -looking but not seeing
  • -nurse endoscopist training/supervision/developmen
    t

4
SAFETY
  • -equipment and disinfection
  • -staffing
  • -environment
  • -sedation/therapeuticprocedures

5
REPORTING
  • -best use of IT
  • -recording and analysis of complications
  • -aggregate data available for audit

6
Bsg snapshot of current practice
  • Questionnaires from 102 units,the majoritytwo
    room departments

7
ACCESS
  • open access
  • gastroscopy 86
  • flexible sigmoidoscopy 43
  • colonoscopy 13

8
STAFFING
  • Two endoscoping consultants/100,000 pop.
  • Average total/unit is 6.3(includes surgeons)

9
STAFFING(NURSING)
10
Daily average number of staff /room
11
Number of endoscopes
12
Computerised record systems
  • Only available in 75 of units,very few are
    windows linked or linked to hospital patient
    indexes

13
Complimentary investigations
14
AIMS OF THE SYMPOSIUM
  • -best available practice
  • -quality targets
  • -standards for audit
  • -business planning
  • -increase capacity and throughput
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