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Updated: Jun 8, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Colonoscopy reports and current state of performance measures.

Jason E Williams¹, Douglas O Faigel

¹Division of Gastroenterology and Hepatology, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.

Gastrointestinal Endoscopy Clinics of North America

|October 5, 2010

Summary

Improving colonoscopy quality relies on accurate reporting and key performance indicators like adenoma detection and withdrawal time. Addressing benchmarks, outcome correlations, incentives, and data access are crucial for advancing colonoscopy quality assurance.

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

Area of Science:

Gastroenterology
Medical Quality Improvement

Background:

Colonoscopy quality is vital for patient outcomes.
Accurate colonoscopy reports are foundational for quality improvement.
Quality indicators are essential for assurance and improvement plans.

Purpose of the Study:

To highlight key quality measures in colonoscopy.
To identify ongoing challenges in colonoscopy quality improvement.

Main Methods:

Review of established colonoscopy quality indicators.
Discussion of unresolved issues in quality assurance.

Main Results:

Key quality measures include cecal intubation rate, adenoma detection, withdrawal time, preparation quality, follow-up recommendations, and American Society of Anesthesiologists classification.
Unresolved issues involve benchmarks, process-outcome correlation, incentive alignment, and data access.

Conclusions:

Detailed and accurate colonoscopy reporting is the first step in quality improvement.
Further work is needed to establish benchmarks, link process measures to outcomes, align incentives, and improve data access for enhanced colonoscopy quality.