Impact of operator fatigue on endoscopy performance: implications for procedure scheduling.

Hdl Handle:
http://hdl.handle.net/10147/127656
Title:
Impact of operator fatigue on endoscopy performance: implications for procedure scheduling.
Authors:
Harewood, Gavin C; Chrysostomou, Kristia; Himy, Naila; Leong, Wai Ling
Affiliation:
Department of Gastroenterology & Hepatology, Beaumont Hospital, Dublin, Ireland. harewood.gavin@gmail.com
Citation:
Impact of operator fatigue on endoscopy performance: implications for procedure scheduling. 2009, 54 (8):1656-61 Dig. Dis. Sci.
Journal:
Digestive diseases and sciences
Issue Date:
Aug-2009
URI:
http://hdl.handle.net/10147/127656
DOI:
10.1007/s10620-008-0549-7
PubMed ID:
19034661
Abstract:
With increasing volumes of endoscopic procedures, endoscopists' workload has had to increase to meet this escalating demand. The aim of this study was to characterize the impact of endoscopist fatigue on quality of endoscopy performance by comparing outcomes based on chronological procedure order.; Consecutive endoscopic procedures were prospectively observed. Quality indicators of colonoscopy (cecal intubation rate, lesion detection, withdrawal time, insertion time) and esophagogastroduodenoscopy (EGD) duration were compared among procedures based on their chronological sequence.; Colonoscopy completion rates declined with successive procedures; completion for 1st to 3rd procedures (90%) was significantly higher than for 4th and subsequent procedures (76%) (P = 0.03). Median insertion times lengthened; times for 1st to 4th procedures [8 min, interquartile range (IQR) 6-11 min] were shorter than for 5th and subsequent procedures (10 min, IQR 7-15 min) (P = 0.06). Lesion detection rates, withdrawal times, and EGD duration remained stable with procedure order.; Colonoscopy cecal intubation rates appear to decline with successive procedures. There also appears to be a trend for insertion times to lengthen. Reassuringly, other quality indicators of colonoscopy (lesion detection and withdrawal time) and EGD duration do not appear to be impacted by repetitive procedures.
Item Type:
Article
Language:
en
MeSH:
Colonoscopy; Endoscopy, Digestive System; Endoscopy, Gastrointestinal; Fatigue; Female; Humans; Male; Middle Aged; Outcome Assessment (Health Care); Prospective Studies; Quality Control; Quality Indicators, Health Care; Time Factors; Work Schedule Tolerance; Workload
ISSN:
1573-2568

Full metadata record

DC FieldValue Language
dc.contributor.authorHarewood, Gavin Cen
dc.contributor.authorChrysostomou, Kristiaen
dc.contributor.authorHimy, Nailaen
dc.contributor.authorLeong, Wai Lingen
dc.date.accessioned2011-04-07T10:29:53Z-
dc.date.available2011-04-07T10:29:53Z-
dc.date.issued2009-08-
dc.identifier.citationImpact of operator fatigue on endoscopy performance: implications for procedure scheduling. 2009, 54 (8):1656-61 Dig. Dis. Sci.en
dc.identifier.issn1573-2568-
dc.identifier.pmid19034661-
dc.identifier.doi10.1007/s10620-008-0549-7-
dc.identifier.urihttp://hdl.handle.net/10147/127656-
dc.description.abstractWith increasing volumes of endoscopic procedures, endoscopists' workload has had to increase to meet this escalating demand. The aim of this study was to characterize the impact of endoscopist fatigue on quality of endoscopy performance by comparing outcomes based on chronological procedure order.-
dc.description.abstractConsecutive endoscopic procedures were prospectively observed. Quality indicators of colonoscopy (cecal intubation rate, lesion detection, withdrawal time, insertion time) and esophagogastroduodenoscopy (EGD) duration were compared among procedures based on their chronological sequence.-
dc.description.abstractColonoscopy completion rates declined with successive procedures; completion for 1st to 3rd procedures (90%) was significantly higher than for 4th and subsequent procedures (76%) (P = 0.03). Median insertion times lengthened; times for 1st to 4th procedures [8 min, interquartile range (IQR) 6-11 min] were shorter than for 5th and subsequent procedures (10 min, IQR 7-15 min) (P = 0.06). Lesion detection rates, withdrawal times, and EGD duration remained stable with procedure order.-
dc.description.abstractColonoscopy cecal intubation rates appear to decline with successive procedures. There also appears to be a trend for insertion times to lengthen. Reassuringly, other quality indicators of colonoscopy (lesion detection and withdrawal time) and EGD duration do not appear to be impacted by repetitive procedures.-
dc.language.isoenen
dc.subject.meshColonoscopy-
dc.subject.meshEndoscopy, Digestive System-
dc.subject.meshEndoscopy, Gastrointestinal-
dc.subject.meshFatigue-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshProspective Studies-
dc.subject.meshQuality Control-
dc.subject.meshQuality Indicators, Health Care-
dc.subject.meshTime Factors-
dc.subject.meshWork Schedule Tolerance-
dc.subject.meshWorkload-
dc.titleImpact of operator fatigue on endoscopy performance: implications for procedure scheduling.en
dc.typeArticleen
dc.contributor.departmentDepartment of Gastroenterology & Hepatology, Beaumont Hospital, Dublin, Ireland. harewood.gavin@gmail.comen
dc.identifier.journalDigestive diseases and sciencesen
dc.description.provinceLeinster-

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