TABLE 1.
Colonoscopy quality indicators
| Patient demographics and history |
| Age |
| Sex |
| Medical record number |
| Management plans |
| Informed consent documentation |
| Previous gastrointestinal procedures: Documented date (yes/no) |
| Documentation of American Society of Anesthesiologists classification |
| Indications for procedure |
| Average risk |
| Increased risk |
| Incomplete colonoscopy |
| Postadenoma resection |
| Procedure: Technical description |
| Date and time |
| Sedation |
| Level of difficulty of the procedure |
| Bowel preparation |
| Type |
| Quality |
| Actual extent of examination |
| Cecal intubation (yes/no) |
| Documentation of cecal landmarks |
| Appendiceal orifice |
| Ileocecal valve |
| Total time recorded (yes/no) |
| Withdrawal time recorded (yes/no) |
| Colonoscopic findings |
| Colonic polyp(s): |
| Number |
| Size |
| Morphology |
| Anatomical 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 (information to patient, information to referring physician) |
| Pathology |
| Documentation of pathology results to the patient and the physician |
| Adenoma detection (yes/no) |
| Cancer detection (yes/no) |