| 英文摘要 |
Inadequate bowel preparation for colonoscopy may result in missing lesions, cancelling procedures, extending screening time and increasing risks of complications. High-quality bowel preparation before colonoscopy is essential for detecting early colon lesions. Before the project, only 39% of the bowel colonoscopy preparations reached the good/excellent levels. On top of that, the nurses only had 59.9% average recognition rate on proper bowel preparation ,including diet modification, monitoring of intake and output, drugs for gut lavage, and time to stop anti-platelet or anti-coagulant drugs.
The quality improvement project includes revising the standard operating procedure, developing a new checklist for colonoscopy preparation, and a handbook for bowel preparation instruction. All nurses in our ward received on-job trainings regarding the new protocol. The results of the quality improvement project were evaluated afterward on bowel preparation of 30 patients in our ward. |
