GASTRINTESTINAL ENDOSCOPY ‘THE IDEAL AND THE REALITY’ Dr I Barrison.

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Presentation transcript:

GASTRINTESTINAL ENDOSCOPY ‘THE IDEAL AND THE REALITY’ Dr I Barrison

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

COMPETENCE -JAG -’training the trainers’ -’looking but not seeing -nurse endoscopist training/supervision/development

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

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

Bsg snapshot of current practice Questionnaires from 102 units,the majority’two room departments

ACCESS open access % gastroscopy 86 flexible sigmoidoscopy 43 colonoscopy 13

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

STAFFING(NURSING)

Daily average number of staff /room

Number of endoscopes

Computerised record systems Only available in 75% of units,very few are windows linked or linked to hospital patient indexes

Complimentary investigations

AIMS OF THE SYMPOSIUM -best available practice -quality targets -standards for audit -business planning -increase capacity and throughput