The Endoscopy Global Rating Scale – Canada: Development And Implementation of a Quality Improvement Tool

MacIntosh, Donald; Dubé, Catherine; Hollingworth, Roger; Zanten, Sander Veldhuyzen van; Daniels, Sandra; Ghattas, George

doi:10.1155/2013/165804

Cited by 42 publications

(38 citation statements)

References 29 publications

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“…Endoscopy procedures should be available to everyone, while in this study this condition was not observed; hence, it is recommended that the Health Care System authorities improve the conditions for this purpose [24]. It is obvious that there are certain aspects regarding the treatment quality which are beyond the medical centers' capabilities, therefore they must be taken care of through the National Health Care System.…”

Section: Discussionmentioning

confidence: 75%

“…It is important that patients are served in a timely fashion and leave the facility with clear discharge instructions, given either to them or to family members, which include information about potential complication and contact details. A follow up contact number should preferably be available on 24 h basis at an office, facility, or emergency service center [24]. In general, patients should receive clear instructions regarding the follow up process [24].…”

Section: Discussionmentioning

confidence: 99%

“…A follow up contact number should preferably be available on 24 h basis at an office, facility, or emergency service center [24]. In general, patients should receive clear instructions regarding the follow up process [24].…”

Section: Discussionmentioning

confidence: 99%

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Publishing the Pre-Publication History: Could it be of Help to Publish Good Science?

2014

JCRG

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Porpuse:To determine the service quality of delivered care for people who undergoing endoscopic procedures. Methods:A cross-sectional study is conducted on 172 patients admitted to the endoscopy ward of Imam Reza Hospital, Tabriz University of Medical Sciences in 2013. Service quality is obtained through: Service Quality = 10-(Importance × Performance) based on the importance, performance and service quality (SQ) with respect to the patients' perspective. Independent T-test and one-way analysis of variance are applied to investigate the correlation between service quality dimensions and categorical variables. Regression analysis is applied to examine the associations between demographics and SQ scores. Data is analysed using the SPSS-17 software. Results:The average scores of importance, performance and SQ of delivered care according to SQ aspects are 6.45, 0.41 and 7.53, respectively from 10 (the top score). The quality of basic amenities and the choice of care provider gained the highest SQ scores. Communication, Safety, Dignity and Autonomy gained poor SQ score. Females in comparison to males with respect to variances in variables of age and health insurance had a 0.47 less score with respect to service quality. Conclusion:Increasing the patients' knowledge and awareness about the provided care, care facilities and care providers and prepare them to participate in care process contribute to quality improvement strategy.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Publishing the Pre-Publication History: Could it be of Help to Publish Good Science?

2014

JCRG

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“…As per Global Reporting Systems recommendations, measuring endoscopy outcomes is the first measure in the path towards quality endoscopy. 18 Self-perceived knowledge gaps, such as caring for the patient with IBD and staging of rectal cancer, were identified. Direct testing identified gaps in describing Barrett's esophagitis and managing patients on anticoagulants who require endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Skills, Practice Patterns, and Knowledge of Canadian Family Physician Endoscopists

Kolber

Ross

2018

Fam Med

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Background and Objectives: In Canada, few family physicians (FPs) perform endoscopy. Conflicting evidence exists on the quality of endoscopy performed by Canadian FPs, which may be explained by differing skillsets of these endoscopists. The objective of this study was to perform the first exploration of the practice, skills, and knowledge of Canadian FP endoscopists. Methods: A cross-sectional survey, including direct knowledge test, was used. Results: Twenty Canadian FP endoscopists completed the survey. Ninety-five percent practice outside urban centres, all perform gastroscopies, and 85% perform colonoscopies and polypectomies. These endoscopists are performing about 32 procedures per month. They are using split bowel preparations, performing rectal retroflexion, and tattooing advanced lesions, all characteristics of a quality endoscopist or program. Self-identified knowledge gaps identified included caring for patients with inflammatory bowel disease and staging rectal cancer. Direct testing found gaps in describing Barrett’s esophagitis and managing anticoagulated patients who require endoscopy. Conclusions: Canadian FP endoscopists appear to be providing quality endoscopic exams and should be supported and encouraged to continue to provide care of rural Canadian patients with gastrointestinal concerns. Future training and continuing education events aimed at this group of endoscopists should target identified knowledge gaps.

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“…Experts in Canada were concerned that the tool may not be relevant to the Canadian public or the Canadian health care system, because the quality items were generated by health professionals in the UK who work in and whose patients are served by a different healthcare system. Thus, a Canadianized version of the GRS (GRS-C) was created [10]. As of July 2015, 109 sites participate in this national GRS-C quality initiative, as part of a concerted nation-wide quality initiative.…”

Section: Introductionmentioning

confidence: 99%

Pilot Validation Study: Canadian Global Rating Scale for Colonoscopy Services

Carpentier

Sharara

Barkun

et al. 2016

Canadian Journal of Gastroenterology and Hepatology

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Background. The United Kingdom Global Rating Scale (GRS-UK) measures unit-level quality metrics processes in digestive endoscopy. We evaluated the psychometric properties of its Canadian version (GRS-C), endorsed by the Canadian Association of Gastroenterology (CAG). Methods. Prospective data collection at three Canadian endoscopy units assessed GRS-C validity, reliability, and responsiveness to change according to responses provided by physicians, endoscopy nurses, and administrative personnel. These responses were compared to national CAG endoscopic quality guidelines and GRS-UK statements. Results. Most respondents identified the overarching theme each GRS-C item targeted, confirming face validity. Content validity was suggested as 18 out of 23 key CAG endoscopic quality indicators (78%, 95% CI: 56–93%) were addressed in the GRS-C; statements not included pertained to educational programs and competency monitoring. Concordance ranged 75–100% comparing GRS-C and GRS-UK ratings. Test-retest reliability Kappa scores ranged 0.60–0.83, while responsiveness to change scores at 6 months after intervention implementations were greater (P < 0.001) in two out of three units. Conclusion. The GRS-C exhibits satisfactory metrics, supporting its use in a national quality initiative aimed at improving processes in endoscopy units. Data collection from more units and linking to actual patient outcomes are required to ensure that GRS-C implementation facilitates improved patient care.

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The Endoscopy Global Rating Scale – Canada: Development And Implementation of a Quality Improvement Tool

Abstract: The GRS-C is intended to improve endoscopic services in Canada by providing endoscopy units with a straightforward process to review the quality of the service they provide.

Cited by 42 publications

References 29 publications

Publishing the Pre-Publication History: Could it be of Help to Publish Good Science?

Publishing the Pre-Publication History: Could it be of Help to Publish Good Science?

Skills, Practice Patterns, and Knowledge of Canadian Family Physician Endoscopists

Pilot Validation Study: Canadian Global Rating Scale for Colonoscopy Services

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