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Updated: Feb 27, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
Effective communication enhances the patients' endoscopy experience.
D P Toomey1, M Hackett-Brennan2, G Corrigan2
1Endoscopy Suite, Department of Surgery, St. Luke's Hospital, Kilkenny, Co. Kilkenny, Ireland. toomey.des@gmail.com.
Improving the endoscopy pathway through enhanced information and staff communication significantly reduced patient anxiety and discomfort. This audit led to a 95% overall patient satisfaction rate, demonstrating the effectiveness of these procedural changes.
Area of Science:
- Gastroenterology
- Patient Experience Research
Background:
- Endoscopic procedures are frequently associated with patient stress and anxiety.
- Optimizing the patient journey is crucial for improving healthcare outcomes.
Purpose of the Study:
- To audit and enhance the endoscopy patient pathway.
- To improve overall patient satisfaction through targeted interventions.
Main Methods:
- A prospective survey of endoscopy patients was conducted.
- System improvements were identified based on initial survey data and subsequently implemented.
- A follow-up survey assessed the impact of implemented changes.
Main Results:
- Patient anxiety at home decreased significantly (median 2 vs. 1, p < 0.01).
- Staff education improved information delivery regarding sedation, discomfort, complications, findings, and follow-up (p < 0.01 for most).
- Gloucester Comfort Scores improved (median 1 vs. 0, p < 0.01), and feelings of invasion/trauma decreased, with 95% overall patient satisfaction.
Conclusions:
- Structured information leaflets and enhanced staff communication are effective in reducing patient anxiety.
- These interventions significantly improve the patient experience during endoscopy.
- The implemented changes are now standard operating procedures, ensuring sustained improvements.
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