Clinical trial NCT03945890: Importing Quality Improvement Practices and Enhance Health Education to Improving Quality of Bowel Preparation
Official title: Health Management Center, Far Eastern Memorial Hospital
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: No-Show Patients
Keywords: quality improvement
team resource management
bowel preparation
health screening colonoscopy
Lead sponsor: Far Eastern Memorial Hospital
Sponsor class: OTHER
Collaborators: name: Ministry of Science and Technology, Taiwan
First posted: 2019-05-10
Enrollment: 2104
Sex: ALL
Minimum age (years): 20
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study was secondary data analysis, and the data contains no person's details, images, or videos. This is a retrospective data analysis study, investigators collected data enrolled in this study were those who received a health check-up colonoscopy screening in a tertiary center hospital, Far Eastern Memorial Hospital (FEMH), in Taiwan from March 2013 to August 2014. A total of 2,104 healthy subjects who underwent check-up colonoscopy screening were enrolled during the pre-intervention, post-intervention, and validation periods. Each subject's demographic characteristics (Age \& Gender) and the type of purgative treatments used were collected. And health screening Bowel Preparation Scale including "Excellent", "Good", "Fair" and "Poor".

Brief summary: Importing quality improvement practices and enhances health education to improving quality of bowel preparation for health screening colonoscopy

This is a retrospective data analysis study aimed at obtaining the types of purgative treatments used, the results of bowel preparation, and each subject's demographic characteristics (Age \& Gender).

Detailed description: This study aimed to check-up the result and the impact of patient education using a medical team resource management (TRM) method on the adequacy of bowel preparation.

Investigators collected a total of 2,104 (884 female, 1,220 male) healthy subjects who underwent a health check-up colonoscopy screening were enrolled before and after the application of the TRM program intervention. The efficacy of the TRM intervention and the factors affecting bowel preparation were estimated using multivariate logistic regression in this study.

Enrollment of study subjects and data collection: The subjects enrolled in this study were those who received a health check-up colonoscopy screening in a tertiary center, Far Eastern Memorial Hospital (FEMH), in Taiwan from March 2013 to August 2014. A total of 2,104 healthy subjects who underwent check-up colonoscopy screening were enrolled during the pre-intervention, post-intervention, and validation periods. Investigators need to collect each subject's demographic characteristics (Age \& Gender) and the types of purgative treatments used were collected to analyze. According to the Aronchick Bowel Preparation Scale, this study divided the degree of bowel cleansing into four levels, namely, "Excellent", "Good", "Fair" and "Poor". Investigators also need to collect the results of bowel preparation to calculate of the adequate bowel cleansing rate was defined further as the percentage of the participants with "Excellent" or "Good" cleansing in our analysis.

Eligibility criteria: Inclusion Criteria:

* The healthy population who received a health check-up colonoscopy screening in Far Eastern Memorial Hospital (FEMH)
* Exam date from March 2013 to August 2014
* Age from 20 y/o to 80 y/o

Exclusion Criteria:

* Gastroenterology outpatients/inpatients
* Missing data subjects
* Out of the Age limits subjects
* Out of the Time period subjects

Primary outcomes:
measure: The well-designed education intervention can improve the rate of adequate bowel pr eparation for health screening colonoscopy.
timeFrame: From March 2013 to August 2014.
Secondary outcomes:
Other outcomes:
Locations:
city: New Taipei City
country: Taiwan
facility: Oriental Institute of Technology / Far Eastern Memorial Hospital
state: Pan-Chiao Dist.
Study officials:
References:
citation: Chung CS, Lin CM, Chen MS. Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan. Qual Manag Health Care. 2021 Apr-Jun 01;30(2):127-134. doi: 10.1097/QMH.0000000000000310.