Table 1.
Colonoscopy quality indicators
| Patient demographics and history |
| Age |
| Sex |
| MRN |
| Management plans |
| Informed consent documentation |
| Previous GI procedures: documented date (yes/no) |
| Documentation of ASA classification |
| Indications for procedure |
| Average risk |
| Increased risk |
| Incomplete colonoscopy |
| Post adenoma resection |
| Procedure: Technical description |
| Date and time |
| Sedation |
| Level of difficulty of the procedure |
| Bowel preparation |
| Type and dosage |
| Quality |
| Actual extent of examination |
| Cecal intubation (yes/no) |
| Documentation of cecal landmarks |
| Appendiceal orifice |
| Ileocecal valve |
| Total and withdrawal time recorded (yes/no) |
| Colonoscopic findings |
| Colonic polyp(s): |
| Number |
| Size |
| Morphology |
| Morphology anatomic location |
| Method of removal |
| Completeness of removal (yes/no) |
| Retrieved (yes/no) |
| Sent to pathology (yes/no) |
| Interventions/unplanned events |
| Unplanned interventions and complications |
| Documentation of discharge plans (info to patient, info to referring MD) |
| Pathology |
| Documentation of pathology results to the patient and the physician |
| Adenoma detection (yes/no) |
| Cancer detection (yes/no) |
MRN: Medical record number; ASA: American Society of Anesthesiology; GI: Gastrointestinal.