Clinical care standard indicators: colonoscopy
Identifying and definitional attributes
|Metadata item type:||Indicator Set|
|Indicator set type:||Other|
|Registration status:||Health, Standardisation pending 13/02/2019|
Australian Commission on Safety and Quality in Health Care, Standard 11/09/2018
The Australian Commission on Safety and Quality in Health Care has produced these indicators to assist with local implementation of the Colonoscopy clinical care standard (ACSQHC 2018).
The Colonoscopy clinical care standard relates to the care of adults undergoing colonoscopy for screening, diagnosis, surveillance, or treatment. It covers the period from when a patient is referred for consideration of colonoscopy through to discharge including planning for follow-up care. The Colonoscopy clinical care standard is relevant to the care provided in primary and acute healthcare settings, including general practice, and public and private hospitals including day procedure services.
A clinical care standard is a small number of quality statements that describe the clinical care that a patient should be offered for a specific clinical condition. The indicators included in this specification are a tool to support local clinical quality improvement and may be used to support other quality assurance and peer review activities. The indicators have been specified to align with the performance indicators that form part of the certification and recertification processes led by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy (CCRTGE), a national body comprising representatives of the Royal Australasian College of Physicians (RACP), the Gastroenterological Society of Australia (GESA), and the Royal Australasian College of Surgeons (RACS).
The quality statements that are included in the Colonoscopy clinical care standard are as follows:
|Indicators linked to this Indicator set:|
Colonoscopy clinical care standard indicators: 1-Proportion of patients scheduled for a colonoscopy whose bowel preparation was adequate Health, Standardisation pending 13/02/2019
Colonoscopy clinical care standard indicators: 2-Proportion of patients undergoing a colonoscopy who have their entire colon examined Health, Standardisation pending 13/02/2019
Colonoscopy clinical care standard indicators: 3-Proportion of patients who had a colonoscopy that detected one or more adenoma(s) Health, Standardisation pending 13/02/2019
Collection and usage attributes
|National reporting arrangement:|
This indicator specification has been developed to assist with the local implementation of the Colonoscopy clinical care standard (ACSQHC 2018). These indicators are intended for local use by colonoscopists, to monitor their results over time and support quality assurance processes.
Most of the data required by the indicator specifications cannot be sourced from routine collections. Colonoscopists will need to conduct prospective collections or retrospective medical records audits of all patients undergoing colonoscopy, for a specific time period. For most of the indicators, the time frame over which data are collected, or sourced from medical records, will be guided by the expected sample size. Samples need to be large enough to identify a change in compliance with the quality statement that is deemed meaningful between audit periods. This will vary by indicator.
Monitoring the implementation of the Colonoscopy clinical care standard will assist in meeting some of the requirements of the National Safety and Quality Health Service (NSQHS) Standards (ACSQHC 2017).
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
ACSQHC (Australian Commission on Safety and Quality in Health Care) 2018. Colonoscopy clinical care standard. Sydney: ACSQHC.