Quality Improvement in Screening Colonoscopy - a Randomized Trial of Tailored Training Intervention Versus Simple Feedback on the Quality Indicators.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Screening centre leader's adenoma detection rate
研究概览
简要总结
Professional societies recommend that endoscopists measure their ceacal intubation rate, adenoma detection rate as indicators of the screening colonoscopy quality. However, it is uncertain how to improve adenoma detection rate and reduce inter-endoscopists' variability in the detection of adenomas. The investigators hypothesize that a hands-on-training intervention tailored to the results of environmental assessment and audit on colonoscopy quality indicators results in higher adenoma detection rate improvement than simple audit and feedback. The investigators further hypothesize that by training the leaders of the screening centres, the effect of the intervention will be further disseminated among other endoscopists from the participating centers, and will thus result in additional increase in individual adenoma detection rate.
The primary aim is to compare the impact on adenoma detection rate of two screening colonoscopy improvement programs:
- Tailored training intervention.
- Audit feedback on colonoscopy quality indicators.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •screening center leading colonoscopist
- •at least 30 screening colonoscopies in the 2011 edition of the screening program
- •adenoma detection rate lower than 25%
排除标准
- •lack of participation in the 2012 edition of the screening program
研究组 & 干预措施
Train the leaders course
干预措施: Train the leaders course (Procedure)
Audit and feedback
干预措施: Audit and feedback (Behavioral)
结局指标
主要结局
Screening centre leader's adenoma detection rate
时间窗: till the end of calendar year after the training intervention
Adenoma detection rate is defined as the proportion of screened subjects in whom at least one adenomatous lesion is identified.
次要结局
- Screening centre leader's proximal and distal adenoma detection rate(Till the end of calendar year after the training intervention)
- Screening center's overall adenoma detection rate(Till the end of calendar year after the training intervention)
- Overall screening centre's ceacal intubation rate(Till the end of calendar year after the training intervention)
- Screening centre leader's withdrawal technique(Till the end of calendar year after the training intervention)
- Screening centre's non-polypoid lesion detection rate(Till the end of calendar year after the training intervention)