THE INFLUENCE OF COLONOSCOPY CHECKLIST IMPLEMENTATION ON COLON-OSCOPY SUCCESS RATE

Sa？etak Introduction: Improving the quality of healthcare services and patient safety during hospital stay are essential determinants of health care delivery. Numerous research on checklists speaks in their favor, and their application is increasingly encouraged. The advantage of a checklist in endoscopy is certainly the interaction between the patient and the medical staff and involving the patient in conducting a checklist of procedures that leads to greater patient satisfaction. Objectives: To study the influence of colonoscopy checklist introduction to colonoscopy success rate in endoscopy clinic in General County Hospital Po？ega. Methods: The study included 500 examinees. 251 examinees were introduced to colonoscopy checklist that needed to be done in order to have a quality preparation for the procedure. The checklist was not available for 249 examinees. They were only prepared by following detailed bowel preparation instruc-tions. In the period of 6 months the effect of introducing checklist in the experimental group was compared to the control group. Tha data from the nursing checklist was obtained on the day of the arranged procedure, before and after colonoscopy. The criteria for the patient selection was adult pa-tients who were indicated for colonoscopy. Results: Examinees who have followed the preparation procedure for a few days before colonoscopy had significantly higher cleaner bowels according to Boston classification, significantly better colon range during colonoscopy and more bowel changes have been noticed which resulted in biopsies and polypectomies than in examinees that have not used the preparation procedure. Conclusion: There is a statistically significant difference with the patients who were introduced with preparation checklist to colonoscopy success rate