Importing Quality Improvement Practices and Enhance Health Education to Improving Quality of Bowel Preparation

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.

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