Colonoscopy clinical care standard indicators: Proportion of patients undergoing colonoscopy with an adequately prepared bowel
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Bowel preparation rate|
|Registration status:||Australian Commission on Safety and Quality in Health Care, Standard 11/09/2018|
Proportion of patients undergoing a colonoscopy with an adequately prepared bowel.
|Indicator set:||Clinical care standard indicators: colonoscopy Australian Commission on Safety and Quality in Health Care, Standard 11/09/2018|
Collection and usage attributes
|Population group age from:|
50 years or older
The quality of the bowel preparation is based on the colonoscopist's ability to visualise the mucosa after retained stool and fluid have been suctioned away. Bowel preparation should be assessed using a validated assessment tool (see 'Comments' section for examples) or other standardised process. Colonoscopists should document the quality of the bowel preparation for each colonoscopy.
Presented as a percentage.
(Numerator ÷ Denominator) x 100
The number of patients undergoing colonoscopy for whom the procedure note documents that bowel preparation was adequate.
The number of patients undergoing colonoscopy.
Examples of validated tools that can be used to assess bowel preparation include:
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
Aronchick C, Lipshutz W, Wright S, DuFrayne F & Bergman G 2000. A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with Colyte and Fleet phophosoda. Gastrointestinal Endoscopy 52:346–352.
Calderwood AH & Jacobson BC 2010. Comprehensive validation of the Boston Bowel Preparation Scale. Gastrointestinal Endoscopy 72: 686-92.
Rostom A & Jolicoeur E 2004. Validation of a new scale for the assessment of bowel preparation quality. Gastrointestinal Endoscopy 59:482-6.