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Nurs Clin North Am. 2014 Mar;49(1):15-27. doi: 10.1016/j.cnur.2013.11.007. Epub 2013 Dec 22.

Measuring endoscopic performance for colorectal cancer prevention quality improvement in a gastroenterology practice.

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  • 1Vanderbilt University, 461 21st Avenue South, Godchaux Hall #306, Nashville, TN 37240, USA. Electronic address:


A gastroenterology practice lacked quality measures to evaluate the practice's colorectal cancer prevention efforts. Colonoscopy performance data were gathered from a retrospective review of 90 charts using a modified Colorectal Cancer Prevention Data Collection Form. Practice stakeholders and project leader reviewed the data, identified practice deficiencies, conducted root cause analysis, and developed practice changes. Implementing the prioritized recommendations and routinely benchmarking care were warranted to ensure effective practice to improve outcomes for colorectal cancer prevention. Achieving higher-value care has led to increased efforts to improve systems for measuring care, using these measures for quality improvement and directly linking quality outcomes to reimbursement.

Copyright © 2014 Elsevier Inc. All rights reserved.


Colorectal cancer prevention; DNP; Endoscopic performance; Quality improvement

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