The impact of videorecording on the quality of colonoscopy performance: a pilot study.
OBJECTIVE
Colonoscopy provides imperfect protection against colorectal cancer and is operator dependent. Colonoscopies typically are poorly documented. We aimed to determine whether videorecording impacts short-term performance of colonoscopy.


METHODS
We videorecorded routine colonoscopies by seven colonoscopists, with and without their awareness. Colonoscopy quality was measured by blinded assessment of inspection time and technique.


RESULTS
From pre- to post-awareness of videorecording, mean inspection time increased by 49% for all colonoscopies combined and increased significantly for four individual colonoscopists. The overall quality of mucosal inspection technique improved by 31% after awareness of videorecording.


CONCLUSIONS
Awareness of videorecording improved physician performance of colonoscopy. Further investigation of the role of videorecording in achieving sustained improvements in the quality performance of colonoscopy, including increases in adenoma detection, is warranted.
Division of Gastroenterology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. drex@iupui.edu
Douglas K
DK
Rex
David G
DG
Hewett
Meghana
M
Raghavendra
Naga
N
Chalasani
D000236:Adenoma / Q000175:diagnosis; D002983:Clinical Competence; D003110:Colonic Neoplasms / Q000175:diagnosis; D003113:Colonoscopy / Q000379:methods* / Q000592:standards*; D006801:Humans; D010865:Pilot Projects; D058996:Quality Improvement; D014741:Video Recording