patients aged OR ≥70 where the dose of Age pethidine exceeded 50 ≥70 mg in patients aged <70 {pethidine}>25mg and 25 mg in patients aged ≥70 {midazolam}>2.5mg {fentanyl}>50mcg Colonoscopy COLCOM34 Percentage of {procedureName}=[COL], Percentage JETS Auditable All ERS should Comfort Score colonoscopies performed where outcome adopt modified Numerator: {DiscomfortEnum}= NED by a stated endoscopist comfort Gloucester system: [moderate] or [severe] or at a stated site in a score is Minimal- 1 or 2 stated period where the moderate or Aim to have episodes of mild comfort level is recorded severe less than 10 discomfort with no as moderate or severe Core KPI Denominator: % of patients distress discomfort. with {procedureName}=[COL] Mild- More than 2 moderate or episodes of severe discomfort without discomfort. distress (BSG) Moderate- Significant discomfort experienced several times with some distress Severe- Frequent discomfort with significant distress Bowel preparation COLBPQ Proportion of Numerator: Percentage NED - For BSG KPI- map Bowel quality colonoscopies where to levels bowel preparation Number of procedure where bowel prep BSG/JAG bowel prep inadequate prep not of of sufficient quality= inadequate sufficient quality to diagnostic GRS require repeat or quality to not alternative test. warrant repeat or
patients aged ≥70 OR where the dose of pethidine exceeded 50 mg in patients aged <70 and 25 mg in patients aged ≥70 Age ≥70 {pethidine}>25mg {midazolam}>2.5mg {fentanyl}>50mcg Colonoscopy Comfort Score Core KPI COLCOM34 Percentage of colonoscopies performed by a stated endoscopist or at a stated site in a stated period where the comfort level is recorded as moderate or severe discomfort. {procedureName}=[COL], Numerator: {DiscomfortEnum}= [moderate] or [severe] Denominator: {procedureName}=[COL] Percentage where comfort score is moderate or severe JETS NED Auditable outcome Aim to have less than 10 % of patients with moderate or severe discomfort. (BSG) All ERS should adopt modified Gloucester system: Minimal- 1 or 2 episodes of mild discomfort with no distress Mild- More than 2 episodes of discomfort without distress Moderate- Significant discomfort experienced several times with some distress Severe- Frequent discomfort with significant distress Bowel preparation quality COLBPQ Proportion of colonoscopies where bowel prep inadequate Numerator: Number of procedure where bowel prep quality= inadequate Percentage NED BSG/JAG GRS Bowel preparation of sufficient diagnostic quality to not warrant repeat or - For BSG KPI- map to levels bowel prep not of sufficient quality to require repeat or alternative test.
NED_KPI_summary_November_2017.docx