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Improvement of Endoscopic Reports with Implementation of a Dictation Template
AIMS: Completeness of procedure reports is an important quality indicator in endoscopy. A dictation template was developed to ensure key elements were included in colonoscopy and esophagogastroduodenoscopy (EGD) reports. Endoscopy reports were reviewed prior to and following implementation of the di...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898381/ https://www.ncbi.nlm.nih.gov/pubmed/33644673 http://dx.doi.org/10.1093/jcag/gwz033 |
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author | Harris, Natasha Telford, Jennifer Yonge, Jordan Galorport, Cherry Amar, Jack Bressler, Brian Brown, Carl Lam, Eric Nap-Hill, Estello Phang, Terry Ramji, Alnoor Suzuki, Matthew Whittaker, J Scott Enns, Robert |
author_facet | Harris, Natasha Telford, Jennifer Yonge, Jordan Galorport, Cherry Amar, Jack Bressler, Brian Brown, Carl Lam, Eric Nap-Hill, Estello Phang, Terry Ramji, Alnoor Suzuki, Matthew Whittaker, J Scott Enns, Robert |
author_sort | Harris, Natasha |
collection | PubMed |
description | AIMS: Completeness of procedure reports is an important quality indicator in endoscopy. A dictation template was developed to ensure key elements were included in colonoscopy and esophagogastroduodenoscopy (EGD) reports. Endoscopy reports were reviewed prior to and following implementation of the dictation templates to determine whether report completeness improved. METHODS: Key elements in an endoscopic report were identified from published guidelines and posted at dictation stations. Colonoscopy and EGD reports were reviewed for the nine physicians performing endoscopy at St. Paul’s Hospital prior to and following implementation of dictation templates. Dictation completeness was defined as inclusion of all key elements. Dictation completeness and inclusion of individual key elements at the two time points were compared using the t-test and Chi-square test. RESULTS: Reports for 4648 procedures undertaken by nine endoscopists were reviewed for completeness at each time point (2008 and 2014). Colonoscopy report completeness increased from 65.8% to 83.2% (P < 0.001). Items that improved included documentation of consent, endoscope used, complications, withdrawal time and rectal retroflexion. EGD report completeness increased from 72.7% to 77.3% (P < 0.001) with improvement in documentation of consent and complications. Items consistently underreported for colonoscopy and EGD at both time points included: patient age, comorbidities, current medications and patient comfort. CONCLUSION: There was an association between the use of a posted dictation template at dictation stations and the improved completeness of endoscopic reports. |
format | Online Article Text |
id | pubmed-7898381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-78983812021-02-25 Improvement of Endoscopic Reports with Implementation of a Dictation Template Harris, Natasha Telford, Jennifer Yonge, Jordan Galorport, Cherry Amar, Jack Bressler, Brian Brown, Carl Lam, Eric Nap-Hill, Estello Phang, Terry Ramji, Alnoor Suzuki, Matthew Whittaker, J Scott Enns, Robert J Can Assoc Gastroenterol Original Articles AIMS: Completeness of procedure reports is an important quality indicator in endoscopy. A dictation template was developed to ensure key elements were included in colonoscopy and esophagogastroduodenoscopy (EGD) reports. Endoscopy reports were reviewed prior to and following implementation of the dictation templates to determine whether report completeness improved. METHODS: Key elements in an endoscopic report were identified from published guidelines and posted at dictation stations. Colonoscopy and EGD reports were reviewed for the nine physicians performing endoscopy at St. Paul’s Hospital prior to and following implementation of dictation templates. Dictation completeness was defined as inclusion of all key elements. Dictation completeness and inclusion of individual key elements at the two time points were compared using the t-test and Chi-square test. RESULTS: Reports for 4648 procedures undertaken by nine endoscopists were reviewed for completeness at each time point (2008 and 2014). Colonoscopy report completeness increased from 65.8% to 83.2% (P < 0.001). Items that improved included documentation of consent, endoscope used, complications, withdrawal time and rectal retroflexion. EGD report completeness increased from 72.7% to 77.3% (P < 0.001) with improvement in documentation of consent and complications. Items consistently underreported for colonoscopy and EGD at both time points included: patient age, comorbidities, current medications and patient comfort. CONCLUSION: There was an association between the use of a posted dictation template at dictation stations and the improved completeness of endoscopic reports. Oxford University Press 2019-12-19 /pmc/articles/PMC7898381/ /pubmed/33644673 http://dx.doi.org/10.1093/jcag/gwz033 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the Canadian Association of Gastroenterology. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Articles Harris, Natasha Telford, Jennifer Yonge, Jordan Galorport, Cherry Amar, Jack Bressler, Brian Brown, Carl Lam, Eric Nap-Hill, Estello Phang, Terry Ramji, Alnoor Suzuki, Matthew Whittaker, J Scott Enns, Robert Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title | Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title_full | Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title_fullStr | Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title_full_unstemmed | Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title_short | Improvement of Endoscopic Reports with Implementation of a Dictation Template |
title_sort | improvement of endoscopic reports with implementation of a dictation template |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898381/ https://www.ncbi.nlm.nih.gov/pubmed/33644673 http://dx.doi.org/10.1093/jcag/gwz033 |
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