Outpatient Surgery Magazine - Subscribers

Salary Survey - Outpatient Surgery Magazine - January 2020

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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8 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 2 0 T here are plenty of metrics you can use to measure the effective- ness of the colono- scopies your GI docs perform, but none are more important than adenoma detection rate (ADR) — the rate in patients 50 and older undergoing first-time colonoscopy screenings who have 1 or more adenomas detected and removed. Studies (osmag.net/PpX9Jy) show that ADR is inversely correlated to the rates of interval colorectal cancer risk (iCRC) — those cancers that may develop due to missed or incompletely resected polyps. Let's look at how your endoscopists can get ADR above the recommended minimum, which the American Society for Gastrointestinal Endoscopy (ASCE) and the American College of Gastroenterology's (ACG) Taskforce on Quality in Endoscopy put at 25% for all patients (30% for men; 20% for women). 1. Technique is tantamount. As innovations in colonoscopy tech continue to emerge, it may be tempting to rely too heavily on the stun- ning HD-quality imagery, nearly 360-degree angle, wall-to-wall views of Jared Bilski | Senior Associate Editor Boost Your Adenoma Detection Rate ADR is the gold standard in colonoscopy quality. Do you measure up? NO SUBSTITUTE High-definition scopes detect adenomas at a higher rate than older, standard-def scopes. Pamela Bevelhymer, RN, BSN, CNOR

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