Implementing Audiovisual Education to Improve Quality and Patient Experience for Outpatient Colorectal Cancer...

Patient comprehension of bowel preparation instructions is essential for adherence to purgative and dietary requirements. Inadequate bowel preparation reduces visualization quality, increases procedure length, and diminishes both diagnostic accuracy and patient experience. Evidence supports the use of audiovisual (AV) education to improve comprehension and adherence compared to standard written instruction. This quality improvement project implemented an AV educational intervention in an outpatient endoscopy unit and evaluated its impact on bowel preparation adequacy and patient experience. Conducted at a 238-bed community hospital in Virginia, the project used two iterative Plan-Do-Study-Act (PDSA) cycles with a total of 121 patients. Data included demographics, bowel preparation adequacy using the Ottawa Bowel Preparation Scale, purgative type, viewing status, and procedure times. Patient experience was measured using standardized Press Ganey survey data. Bowel preparation adequacy improved from 80.4% at baseline to 90.5% in the second PDSA cycle, meeting the American Gastroenterological Association (AGA) benchmark. Patient experience scores improved from 82.39% to 90.96%, exceeding the institutional benchmark of 88%. Implementation of AV education improved bowel preparation adequacy and enhanced patient experience, supporting its integration into standard pre-colonoscopy education and quality improvement practices.