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• W4283170562 abstract "<h3>Introduction</h3> Social distancing, staff shortages and patient isolation due to the Covid-19 pandemic has caused significant challenges in the National Health Service. The British Society of Gastroenterology warns that unavoidable delays to surveillance colonoscopy due to the pandemic risks delayed cancer diagnosis.¹ We undertook a quality improvement initiative to assess if virtual pre-assessment can be adopted as an alternative to face to face (F2F) clinic, thereby improving efficiency whilst reducing patient and staff risk. <h3>Methods</h3> The current situation was assessed, change identified, and quality improvement (QI) designed² utilising a Plan-Do-Study-Act (PDSA) method to increase clinic capacity by 10% from 90% to 100% within 8 weeks. Key stakeholders working with the systems were engaged. A single practitioner trialled and evaluated accuRX video consultation remotely. Patients required a smart phone with video capabilities. Telephone consultations were conducted here patients were unable to connect. Patients received text message links to the video platform within 24hrs of appointment. 30-minute appointment slots were allocated to gather patient health history, obtain consent and educate on bowel preparation. 10 minutes was allocated for completion of electronic records and processing of bowel prep for postage. Nursing records were completed electronically and saved securely on hospital shared drive. <h3>Results</h3> The 10% target was achieved within 8 weeks. 13 virtual clinics provided 84 clinic appointment; 78 patients (age range 18 to 92) attended clinic (45 video & 33 telephone) with 2 later converted to F2F appt. 6 DNA clinic appointment. Reasons for conversion to telephone clinic are outlined in table 1. 64 patients completed procedures, 4 awaiting test, 5 declined, 3 unwell and 2 not suitable. 94% of colonoscopy reported excellent, good, or fair bowel preparation. Patient experience was not formally measured. <h3>Conclusions</h3> Our results indicate video pre-assessment to be an alternative to F2F long-term. Strategies to improve uptake need consideration prior to wide scale implementation. Formal data is required to measure patient experience and preference. Furthermore, as we move toward a greener approach to endoscopic working the reduction of carbon footprint by minimising F2F appointments should also be acknowledged. <h3>Reference</h3> BSG (2021) Colonoscopy for high-risk surveillance patients during COVID-19. https://www.bsg.org.uk/covid-19-advice/an-update-to-information-and-guidance-for-endoscopy-services-in-the-covid-19-pandemic-2/ Healthcare Quality Improvement Partnership (HQIP) (2021) <i>A guide to quality improvement tools.</i> London: HQIP" @default.
• W4283170562 created "2022-06-21" @default.
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• W4283170562 date "2022-06-01" @default.
• W4283170562 modified "2023-09-26" @default.
• W4283170562 title "P177 Video pre-assessment in endoscopy- a quality improvement pilot study in response to COVID-19" @default.
• W4283170562 doi "https://doi.org/10.1136/gutjnl-2022-bsg.231" @default.
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