Evidence map›Paper›PMID 34917317›Full record

ArticleFrontline gastroenterology2021

Improving safety and reducing error in endoscopy (ISREE): a survey of UK services.

Srivathsan Ravindran, Paul Bassett, Tim Shaw, Michael Dron, Raphael Broughton, Helen Griffiths, Dimple Keen, Eleanor Wood, Chris J Healey, John Green and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontline gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. National census of UK endoscopy services 2021.Frontline gastroenterology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Srivathsan RavindranJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.ORCID 0000-0002-1162-9555
Paul BassettStatsconsultancy, Amersham, UK.
Tim ShawJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, London, UK.
Michael DronJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, London, UK.
Raphael BroughtonJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, London, UK.
Helen GriffithsJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Dimple KeenJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Eleanor WoodGastroenterology, Homerton University Hospital NHS Foundation Trust, London, London, UK.ORCID 0000-0002-7467-5698
Chris J HealeyJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
John GreenGastroenterology, Cardiff and Vale NHS Trust, Cardiff, Cardiff, UK.
Hutan AshrafianSurgery and Cancer, Imperial College London, London, London, UK.
Ara DarziSurgery and Cancer, Imperial College London, London, London, UK.
Mark ColemanJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Siwan Thomas-GibsonSurgery and Cancer, Imperial College London, London, London, UK.ORCID 0000-0001-8922-6249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Joint Advisory Group on Gastrointestinal Endoscopy (JAG) 'Improving Safety and Reducing Error in Endoscopy' (ISREE) strategy was developed in 2018. In line with the strategy, a survey was conducted within the JAG census in 2019 to gain further insights and understanding of key safety-related areas within UK endoscopy.

methodsQuestions were developed using the ISREE strategy as a guide and adapted by key JAG stakeholders. They were incorporated into the 2019 JAG census of UK endoscopy services. Quantitative and qualitative statistical methods were employed to analyse the results.

resultsThere was a 68% response rate. There was regional variability in the provision of out-of-hours GIB services (p<0.001). Across 1 month, 1535 incidents were reported across all services. There was a significantly higher proportion of reported incidents in acute services compared with others (p<0.001). Technical and training incidents were likely to be reported significantly differently to all other incident types. 74% of services have an endoscopy-specific sedation policy and 42% have a named sedation or anaesthetic lead for endoscopy. Services highlighted a desire for more anaesthetic-supported lists. Only 66% of services stated they have an effective strategy for supporting upskilling of endoscopists. Across acute services, 56% have access to human factors and endoscopic non-technical skills (ENTS) training. Patient feedback is used in several ways to improve services, develop training and promote shared learning among endoscopy users.

conclusionsThe census provides a benchmark for key safety-related characteristics of endoscopy services. These results have highlighted key areas to develop, guided by the ISREE strategy.

Indexed as

endoscopy

Identifiers

PMID34917317
PMCPMC8640393

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.