A patient-centered framework for health systems engineering in gastroenterology: improving inpatient colonoscopy bowel preparation.

ABSTRACT:

Background

Inpatient colonoscopy bowel preparation (ICBP) is frequently inadequate and can lead to adverse events, delayed or repeated procedures, and negative patient outcomes. Guidelines to overcome the complex factors in this setting are not well established. Our aims were to use health systems engineering principles to comprehensively evaluate the ICBP process, create an ICBP protocol, increase adequate ICBP, and decrease length of stay. Our goal was to provide adaptable tools for other institutions and procedural specialties.

Methods

Patients admitted to our tertiary care academic hospital that underwent inpatient colonoscopy between July 3, 2017 to June 8, 2018 were included. Our multi-disciplinary team created a protocol employing health systems engineering techniques

SUBMITTER: Strauss AT 

PROVIDER: S-EPMC7912514 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature