Improving the quality of bowel preparation for patients undergoing a colonoscopy

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Improving the Quality of Bowel Preparation for Patients Undergoing a Colonoscopy Author Michelle Huntebrinker Background Colorectal cancer is a deadly disease that accounts for 10% of all cancer cases worldwide and is the second leading cause of cancer-related deaths. The utilization of visual screening is the gold standard of colorectal cancer prevention. This quality improvement project implements the combination of verbal and visual instruction to educate patients and promote adequate bowel preparation prior to a colonoscopy. Methods Successful methods of communication to promote bowel preparation education included verbal and visual instruction. Variation in strategies to provide the patient education noted improved bowel preparation adequacy. A video was created to provide the bowel preparation education with verbal and visual communication. Patients were instructed to watch the video prior to beginning the bowel preparation regimen. Data was collected from the EMR and patient surveys to determine compliance and bowel preparation adequacy, along with demographics and rating of satistfaction. Results The adequacy rate of bowel preparation was unchanged after intervention implementation. Due to small sample size, the results of the quality improvement project were statistically insignificant. Conclusions Continuation of this quality improvement project with modifications is necessary due to the identified gap in patient education and lacking bowel preparation adequacy. All educational materials related to the study are available to the project sites. IRB Approval IRB approval through exempt review. C-Authors Dr. Kelli Cash, Dr. Rebecca Sidberry, Katie Hickey, Dr. Jan Sherman Learning Objective: The purpose of this quality improvement project was to implement an alternative method of education to improveme the adequacy rate of bowel preparation for patients undergoing a colonoscopy.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.