TU1.4 Adequacy of endoscopic photo-documentation in an OGD: Closing the loop!

Abstract

Abstract Aims The technical competence of Oesophago-Gastro-Duodenoscopy (OGD) is rapidly acquired but to support the practice of complete examination, the British Society of Gastroenterology (BSG) and Association of Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS) recommend documentation of 8 anatomical stations. Photo-documentation ensures a complete examination, gives an opportunity to inspect area of interest and serves as legal record of an adequate procedure. Our Aim was to assess the hospitals practice of photo-documentation against the BSG and AUGIS guidelines and to improve practice by conducting teaching sessions and designing a poster for the endoscopy rooms. Methods 1st Cycle: 100 OGD reports were randomly selected from 1/1/2018 to 31/3/2020 and were reviewed on the hospitals electronic reporting system (Endorad). Data on patients demographics, speciality of Endoscopist and the documented stations was collected. Data was presented at the departments meeting and a simultaneous teaching session was conducted. A poster was designed and displayed outside the endoscopy rooms. 2nd Cycle: 100 OGD reports were selected from 1st January to 30th June 2021 and re audited. Results 66% of the OGD reports had photo-documentation of all 8 stations and 81% of reports had 7 documented stations which was a significant improvement in practice as the first audit had no report with photographic documentation of all the stations. The highest number of stations documented in the first audit were 5 and that too in only 40% of the cases. Conclusions The audit cycle showed significant improvement in photo-documentation of all the stations, highlighting the benefit of the process.