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- W3144562021 abstract "Aims Encouraging adherence to agreed triage guidelines is a critical facet of endoscopy waiting list management,particularly in the current climate of COVID-19. Unfortunately, few such guidelines exist and there is considerable variabilityin their application. The aim of this study was to determine if the use of locally developed flowsheets, created using existing guidelines, couldaid in standardisation of endoscopy triage and surveillance in a single endoscopy unit. Methods Existing international (BSG) and national (NICE, NCSS and HIQA) guidelines were reviewed. Simple flowsheetswere devised to address upper and lower GI endoscopy triage, polyp and Barretts surveillance, family history of colorectalcancer. A baseline quiz involving clinical scenarios was devised and endoscopy users were invited to participate. The quizwas then retaken after reviewing the relevant flowsheets. Results 20 endoscopy users took part. The mean number of correct answers increased significantly after reviewingflowsheets (45±11 % v 71±12 %;p=<0.0001). Similar improvements were noted across both the triage and surveillancesections (25±15 % v 25±18 %;p=0.8368), and between nursing and medical staff (24±18 % v 27±15 %;p=0.7075).Consultants had more correct answers than nurses at initial assessment (56±5 % v 42±12 %;p=0.054) but there was nosignificant difference after reviewing the flowsheets (71±10 % v 66±14 %;p=0.5566). Conclusions We have shown a significant improvement in triage accuracy after reviewing appropriate guideline flowsheets among medical and nursing staff. While medical staff performed better at initial assessment, there was no significant difference between medical and nursing staff scores after reviewing the guidelines. We conclude that all staff should refer to guidelines when triaging clinical requests. In addition it reassures us that nurses, with appropriate guidelines as reference, can be utilised to support or replace doctor-led triage. (Table Presented)." @default.
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- W3144562021 date "2021-03-01" @default.
- W3144562021 modified "2023-09-23" @default.
- W3144562021 title "Improving Adherence to Endoscopy Guidelines for Triage and Surveillance In a Single Endoscopy Unit" @default.
- W3144562021 doi "https://doi.org/10.1055/s-0041-1724692" @default.
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