ENDOSCOPY CHECKLIST: THAT WE SHOULD KNOW ABOUT PATIENTS BEFORE PERFORMING A GASTROINTESTINAL ENDOSCOPY

Aims:

• Detect characteristics of the patients that may affect gastrointestinal endoscopy safety.

• Quantify that results in gastroscopy and colonoscopy.

Methods:

A prospective observational study was conducted among 714 patients at Hospital Universitario Central de Asturias (Spain) from January to June 2016: 360 gastroscopies and 354 colonoscopies.

Endoscopy checklists were employed before elective procedures that need conscious sedation.

Evaluated: Sex, age, allergies, comorbidity and drugs among others

Categorical variables are presented as absolute and relative frequencies; for metric variables median and range (minimum, maximum) are given.

Results:

73.5% of patients presented some feature that could influence endoscopy safety, with an average of 1.6 per patient. In addition, 2.5% of gastrointestinal endoscopies were suspended and 2.8% had some type of complication.

Variables results:

• Lack of nil-per-mouth: 0.6%

• Inadequate bowel prep: 16.7%

• Dental prosthesis removed: 72.2%

• Use of anticoagulants: 16.7%

• Allergies: 20.9%

• Comorbidity: 87.5%

Conclusions:

Results obtained in this study show the high frequency of the characteristics of the patient that can affect the safety of endoscopic techniques, highlighting the need to create an endoscopic checklist in medical records, extending their application to all endoscopic procedures.

The aim of Endoscopy checklist is to give teams a simple, efficient set of priority checks to improve effective teamwork and communication and encourage active consideration of patient safety for every gastrointestinal endoscopy performed. We also want to ensure consistency in patient safety in gastrointestinal endoscopy and introduce or maintain a culture that values patient safety