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A quality assurance monitor on preparation for outpatient lower endoscopic procedures
G M Waltz1, M Ellett, M Winchester
1James Whitcomb Riley Hospital for Children, Indianapolis, IN 46202-5225, USA.
Insights
Fleet Phospho-Soda and enemas effectively cleansed the colon in pediatric outpatients. However, older age and higher weight impacted colon cleanliness, while a second enema improved rectal cleanliness.
Area of Science:
- Pediatric Gastroenterology
- Quality Improvement in Healthcare
- Colorectal Health
Background:
- Colon cleansing is crucial for pediatric outpatient procedures.
- Current preparation methods involving Fleet Phospho-Soda, Fleet enemas, and diet modification require evaluation.
- Assessing preparation effectiveness is vital for patient outcomes and diagnostic accuracy.
Purpose of the Study:
- To evaluate the effectiveness of current colon preparation protocols in pediatric outpatients.
- To identify factors influencing colon cleanliness.
- To assess the impact of protocol modifications on preparation quality.
Main Methods:
- A two-phase quality assurance study was conducted.
- Phase 1 involved 99 pediatric outpatients, followed by protocol implementation.
- Phase 2 involved another 99 pediatric outpatients to assess changes.
Main Results:
- Increasing age correlated with decreased cleanliness in the transverse colon, ascending colon, and cecum.
- Increasing weight correlated with decreased cleanliness in the cecum.
- Administering a second enema significantly improved rectal cleanliness.
Conclusions:
- While Fleet Phospho-Soda and enemas show efficacy, patient factors like age and weight affect colon cleansing quality.
- A second enema can enhance rectal cleanliness in pediatric patients.
- Further optimization of preparation protocols may be needed for specific pediatric populations.
Abstract:
A two-phase quality assurance monitor was performed with a pediatric outpatient population to determine how well the current preparation of Fleet Phospho-Soda, Fleet enemas, and diet modification cleaned the colon. We studied 99 patients in Phase 1, implemented changes, and then studied 99 patients in Phase 2. Phase 2 found increasing age to be significantly related to decreasing cleanliness of the transverse colon, ascending colon, and cecum, and increasing weight was found to be significantly related to decreasing cleanliness of the cecum. Phase 2 also found the second enema to be significant for increasing cleanliness of the rectum.