• Improving Specimen Collection

    No incorrectly labeled specimen containers, no specimens placed in wrong containers, no missing specimens, 100% real-time timeout charting compliance

  • Addressing What Matters More to Patients

    The health system has a strategic goal of increasing the ratings on the NRC “What Matters Most” question in patient satisfaction surveys to 66.9% for all departments.

  • Meeting Endoscope Reprocessing Guidelines

    On November 16, 2021, a quality improvement study was conducted to determine that all endoscopes are going from end of procedure to high-level disinfection (HLD) within the national guideline of one hour.

  • Patient Perceptions of Wait Times

    It is suspected that patients are perceiving excessive wait times in relation to their experience at [the facility] and delays in discharge which is increasing the time the patient is in the facility.

  • Adequacy of Bowel Preparation

    Over the past three years, [the unit] has used several different bowel preps in order to achieve the best possible colonoscopy for our patients.

  • Carbon Dioxide Insufflation

    To determine if the use of Carbon Dioxide for GI insufflation will decrease the patient complaints of abdominal pain and cramping can be discharged to home after his or her procedure sooner.

  • Adequacy of the Use of Disinfection Wipes for Stretchers and Procedure Room Surfaces

    The organization reviewed the adequacy of the use of Brand A wipes in the contact cleaning of stretchers and procedure room surfaces between cases.

  • Adenoma Detection Rate and Recommended Follow Up Intervals

    The gap in quality of care that we studied is the lack of a standard recommended time for repeating a colonoscopy in patients who present for colon cancer screening but have inadequate bowel prep.

  • Patient Wait Time Prior To Procedure

    This study will identify all procedures performed at the unit during a sample time period to calculate the average total patient wait time from the arrival/check in process at the front desk.

  • Screening Colonoscopy After a Positive Stool-based Test

    In the United States, it is estimated that more than 52,000 people will die of colorectal cancer in 2022, and roughly 151,000 new cases will be diagnosed.

  • Tracking Abnormal Fecal Immunochemical Tests

    There is not a clearly defined process for follow-up in patients with a positive FIT ordered by primary care. Among patients with an abnormal FIT result, between 1 in 10 and 1 in 30 have colorectal cancer (CRC).

  • Blood Thinner Clearance Tracking and Follow-up

    The surgery center's management and Quality Assurance (QA) Committee noticed a significant disparity in requests for pre-procedure blood thinner clearances (BTCs) for patients receiving anticoagulation therapy and responses from prescribing physicians.

  • Eliminating Hot Biopsy Forceps for Diminutive Polyps

    Our newest improvement project was to eliminate the use of hot biopsy forceps for diminutive polyps. Over the years, the number of providers using this method has decreased; however, there were still a few using it.

  • Safe Exiting From the Building

    A gap was identified in quality of care around a safe exit from the building. The focus of our study surrounded optimal patient safety and satisfaction in relation to the discharge exit.

  • No-Show Quality Improvement Project

    The practice has seen an increased percentage of “no-shows” across all physicians over the past several months. “No-show” means any patient who fails to arrive for a scheduled procedure appointment.