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Assessing patient comfort at colonoscopy

Patient comfort. Is a vital component of the patient experienceIs an endoscopist performance indicator-require different assessment techniques. Assessment of patient experience. Usually after the procedure as patients often sedatedOn-site vs mail-back/web based. . . Endoscopist competence. Patient discomfort assessed by nurse during the procedureNurses have a broader viewpoint from watching several endoscopists.

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Assessing patient comfort at colonoscopy

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    1. Assessing patient comfort at colonoscopy Dr Marek Czajkowski Consultant Gastroenterologist Royal Gwent Hospital, Newport

    3. Patient comfort Is a vital component of the patient experience Is an endoscopist performance indicator -require different assessment techniques

    4. Assessment of patient experience Usually after the procedure as patients often sedated On-site vs mail-back/web based

    7. Endoscopist competence Patient discomfort assessed by nurse during the procedure Nurses have a broader viewpoint from watching several endoscopists

    8. Leeds comfort score -as used by BSG/Health Care Commission Acute Hospital Portfolio Mini Audit

    9. Gloucester comfort score None - talking comfortably throughout One or two episodes of mild discomfort well tolerated More than 2 episodes of discomfort, adequately tolerated Significant discomfort experienced several times during procedure Extreme discomfort frequently during test

    11. South Auckland comfort score:

    12. Factors Predictive of Difficult Colonoscopy is Experience Important? Czajkowski MA, Gerred S, Haque M, Parry S Middlemore Hospital, Auckland

    13. 2537 colonoscopies carried out between 1/1/2002 and 31/12/2003 84 excluded due to malignant stricture (n=42) and inadequate bowel prep (n=42) 2469 included for analysis

    14. Odds of painful colonoscopy

    15. Odds of painful colonoscopy

    16. Patient assessment of discomfort

    17. Nurse assessment of discomfort

    18. Conclusions Assessment of patient discomfort serves two purposes: Measurement of patient satisfaction Assessment of endoscopists competence 5 point scales are adequate tools for audit purposes

    19. The happy customer always returns for more

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