Pilot Validation Study: Canadian Global Rating Scale for Colonoscopy Services

Carpentier, Stéphanie; Sharara, Nour; Barkun, Alan N.; Ouali, Sara El; Martel, Myriam; Sewitch, Maida

doi:10.1155/2016/6982739

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…A similar international collaboration led to the introduction of a GRS in Iraq 75. Carpentier et al provided evidence of test–retest reliability of the Canadian GRS (GRS-C), modified from the UK version, with evidence of quality improvement 79. Use of the GRS-C has been reviewed in a 2013 publication,74 which outlined its use in 39 Canadian units.…”

Section: Resultsmentioning

confidence: 99%

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, the position of JAG has evolved to meet its current role of quality assuring all aspects of endoscopy in the UK to provide the highest quality, patient-centred care. Drivers such as changes to healthcare agenda, national audits, advances in research and technology and the advent of population-based cancer screening have underpinned this shift in priority. Over this period, JAG has spearheaded various quality assurance initiatives with support from national stakeholders. These have led to the achievement of notable milestones in endoscopy quality assurance, particularly in the three major areas of: (1) endoscopy training, (2) accreditation of endoscopy services (including the Global Rating Scale), and (3) accreditation of screening endoscopists. These developments have changed the landscape of UK practice, serving as a model to promote excellence in endoscopy. This review provides a summary of JAG initiatives and assesses the impact of JAG on training and endoscopy services within the UK and beyond.

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Section: Resultsmentioning

confidence: 99%

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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“…Analysis of surveys from these sites will help clarify and, if needed, adjust statements to be implemented in future iterations of the IBD GRS. A pilot validation study assessing the psychometric properties of the IBD GRS will also be conducted similar to what has been done for the C-GRS ( 36 ). Impact of the IBD GRS at pilot centres will be reported and, if positive, further knowledge translation activities will be undertaken to promote uptake nationally.…”

Section: Discussionmentioning

confidence: 99%

“…In a study assessing the applicability of the UK GRS, it was determined to be an appropriate tool for use by health care providers and organizations outside of England ( 34 ). In 2007, the Canadian Association of Gastroenterology (CAG) adapted the UK GRS to the Canadian health care infrastructure, language and current practices for Canadian endoscopy patients as a pilot project at 12 sites ( 35 , 36 ). As of 2018, over 190 sites and over 500 participants nationwide use the Canadian endoscopy GRS (C-GRS) ( 37 ).…”

Section: Global Rating Scalementioning

confidence: 99%

“…In 2016, the validity and reliability of the C-GRS for endoscopy services was tested at three centres in Canada. The participating centres reported satisfactory face validity, content validity, construct validity and reliability ( 36 ). In 2018, CAG will launch an enhanced GRS platform that will accommodate multiple GRS, including IBD.…”

Section: Global Rating Scalementioning

confidence: 99%

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Development of a Global Rating Scale for Inflammatory Bowel Disease

Bitton

Devitt

Bressler

et al. 2019

Journal of the Canadian Association of Gastroenterology

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Background The Global Rating Scale (GRS) is a web-based self-assessment quality improvement tool used to identify gaps in health care, change the focus to patient-centred care and standardize care. There are four levels of achievement ranging from basic-(D) to excellent-(A) service delivery. The goal was to develop a GRS for inflammatory bowel disease (IBD) to improve the quality of care for patients on a system level. Methods The IBD GRS was developed through an iterative process and modeled upon the successful endoscopy GRS programs in the United Kingdom and Canada. Dimensions, items and statements were drafted based on expert opinions, patient-informed quality indicators and best available evidence, then reviewed and modified by a core committee. A working group of IBD and GRS experts voted in-person to establish consensus on the inclusion and quality of statements. Results Two dimensions (Clinical Quality and Quality of Patient Experience), 10 items and 89 statements made up the IBD GRS. There was a 100% response rate for each of the 40 votes for statements in the IBD GRS. All statements within each level received a mean rating score between four (agree) and five (strongly agree). Revisions agreed upon during the voting process were incorporated into the IBD GRS. Group consensus was achieved on the inclusion of statements, and 10 items were selected as standards within the two dimensions. Conclusions We have developed the first IBD GRS with the aim of improving quality of care through ongoing evaluations and improvements by health care teams, focusing on patient-centred care.

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“…The Canadian Association of Gastroenterology has adapted the GRS, a tool used to assess quality of services in endoscopy units in United Kingdom and developed GRS-Canada (GRS-C) to aid improvement of the quality of endoscopy services in Canada ( 4 , 29 ). Our study findings should be incorporated in the surveys conducted as part of GRS-C. GRS-C already identifies the need for annual patient satisfaction surveys that include the quality of patient information and feedback about aftercare.…”

Section: Discussionmentioning

confidence: 99%

OUP accepted manuscript

Restall

Michaud

Walker

et al. 2019

Journal Canadian Association Gastroenterology

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Background Patient perspectives have important roles in improving the quality of colonoscopy services. The purpose of this qualitative study was to obtain the perspectives of patients who recently had undergone colonoscopy procedures, about their experiences with bowel preparation, the procedure itself, and communication of follow-up results and recommendations. Methods We recruited adults who had undergone a colonoscopy, to participate in semistructured interviews. Interviews were audiotaped, transcribed and analyzed using inductive qualitative methods. Results Twenty-four adults (58% female) with an average age of 53.8 years participated. Results were categorized within the themes of bowel preparation, the colonoscopy procedure and communication of the results. Participants appreciated having clear consistent plain language messages about bowel preparation. Some participants experienced additional challenges to understanding, and navigating, colonoscopy procedures. At the time of the procedure, positive and reassuring interactions with, and between, members of the health care team, in addition to management of physical pain and discomfort, were important. Participants wanted clear and timely information about the results of their test. Conclusions Understanding patients’ needs for information and support can promote higher quality colonoscopy services. Our findings suggest that quality indicators should include: patients’ perspectives of the clarity of bowel instructions; the need for supports that are not routinely provided; the extent to which concerns about the procedure are addressed; interactions with the endoscopy team; the endoscopy team’s interactions with each other; comfort during the procedure, and the timeliness and clarity of results and follow-up instructions. These indicators should be included in annual patient surveys.

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Pilot Validation Study: Canadian Global Rating Scale for Colonoscopy Services

Cited by 10 publications

References 10 publications

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Development of a Global Rating Scale for Inflammatory Bowel Disease

OUP accepted manuscript

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