Dataset Information

Improvement of Endoscopic Reports with Implementation of a Dictation Template.

ABSTRACT:

Aims

Completeness of procedure reports is an important quality indicator in endoscopy. A dictation template was developed to ensure key elements were included in colonoscopy and esophagogastroduodenoscopy (EGD) reports. Endoscopy reports were reviewed prior to and following implementation of the dictation templates to determine whether report completeness improved.

Methods

Key elements in an endoscopic report were identified from published guidelines and posted at dictation stations. Colonoscopy and EGD reports were reviewed for the nine physicians performing endoscopy at St. Paul's Hospital prior to and following implementation of dictation templates. Dictation completeness was defined as inclusion of all key elements. Dictation completeness and inclusion of individual key elements at the two time points were compared using the t-test and Chi-square test.

Results

Reports for 4648 procedures undertaken by nine endoscopists were reviewed for completeness at each time point (2008 and 2014). Colonoscopy report completeness increased from 65.8% to 83.2% (P < 0.001). Items that improved included documentation of consent, endoscope used, complications, withdrawal time and rectal retroflexion. EGD report completeness increased from 72.7% to 77.3% (P < 0.001) with improvement in documentation of consent and complications. Items consistently underreported for colonoscopy and EGD at both time points included: patient age, comorbidities, current medications and patient comfort.

Conclusion

There was an association between the use of a posted dictation template at dictation stations and the improved completeness of endoscopic reports.

SUBMITTER: Harris N

PROVIDER: S-EPMC7898381 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Improvement of Endoscopic Reports with Implementation of a Dictation Template.

Harris Natasha N Telford Jennifer J Yonge Jordan J Galorport Cherry C Amar Jack J Bressler Brian B Brown Carl C Lam Eric E Nap-Hill Estello E Phang Terry T Ramji Alnoor A Suzuki Matthew M Whittaker J Scott JS Enns Robert R

Journal of the Canadian Association of Gastroenterology 20191219 1

<h4>Aims</h4>Completeness of procedure reports is an important quality indicator in endoscopy. A dictation template was developed to ensure key elements were included in colonoscopy and esophagogastroduodenoscopy (EGD) reports. Endoscopy reports were reviewed prior to and following implementation of the dictation templates to determine whether report completeness improved.<h4>Methods</h4>Key elements in an endoscopic report were identified from published guidelines and posted at dictation statio ...[more]

PMID: 33644673

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Dataset Information

Improvement of Endoscopic Reports with Implementation of a Dictation Template.

Aims

Methods

Results

Conclusion

Publications

Improvement of Endoscopic Reports with Implementation of a Dictation Template.

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