{"title":"An explorative study from the Norwegian Quality Register Gastronet comparing self-estimated versus registered quality in colonoscopy performance.","authors":"Volker Moritz, Oyvind Holme, Marissa Leblanc, Geir Hoff","doi":"10.1055/s-0042-100904","DOIUrl":"10.1055/s-0042-100904","url":null,"abstract":"<p><strong>Background and study aims: </strong>The value of a colonoscopy quality assurance (QA) register may be questioned if it brings no new information on which to act for quality improvement, e. g. if self-assessed quality of colonoscopy performance correlates perfectly with registered performance.</p><p><strong>Patients and methods: </strong>In this explorative study, 39 (33 Norwegian and 6 Swedish) out of 99 new endoscopists joining the Norwegian QA register Gastronet from 2008 to 2013 responded to an invitation to fill in a questionnaire for self-assessment of cecal intubation rate, polyp detection rate for polyps ≥ 5 mm (PDR-5 mm), withdrawal time, total examination time, and rates for severely painful and pain-free colonoscopies before receiving their first-time feedback of actually registered results from Gastronet. A linear regression analysis was applied to explore the correlation between experience level and quality of estimation.</p><p><strong>Results: </strong>We included 2654 colonoscopies in our study. Endoscopists underestimated their cecal intubation rate (estimated 88.8 %, registered 93.1 %, P < 0.001), total procedure time (estimated 31.7 minutes, registered 37.2 minutes, P = 0.014), withdrawal time (estimated 9.8 minutes, registered 14.4 minutes, P = 0.006) and the rate of pain-free procedures (estimated 18.3 %, registered 24.5 %, P = 0.001). Pre-study colonoscopy experience was not correlated with estimated quality for any of the indicators.</p><p><strong>Conclusions: </strong>Apart from overestimation of severely painful examinations, endoscopists most often underestimated their colonoscopy performance. Self-assessed quality of colonoscopy performance may not be a satisfactory substitute for systematic registration of quality and not sufficiently valid to be acted upon.</p>","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"8 1","pages":"E326-32"},"PeriodicalIF":2.6,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4798930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81509935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Persistence, Success and Speed in a Mental Task","authors":"J. C. Chapman","doi":"10.1080/08919402.1924.10532938","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532938","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"276-284"},"PeriodicalIF":0.0,"publicationDate":"1924-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Outlook for Civilization","authors":"Hermann Hilmer","doi":"10.1080/08919402.1924.10532936","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532936","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"247-267"},"PeriodicalIF":0.0,"publicationDate":"1924-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Psychology of Superior Children","authors":"Albertine A. Richards-Nash","doi":"10.1080/08919402.1924.10532935","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532935","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"209-246"},"PeriodicalIF":0.0,"publicationDate":"1924-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532935","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moral and Social Development of the Six-Year-Old Child","authors":"Ellen Maher","doi":"10.1080/08919402.1924.10532937","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532937","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"86 1","pages":"268-275"},"PeriodicalIF":0.0,"publicationDate":"1924-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological Examination of Pre-School Age Children: A Demonstration of the Classification of Children According to Ability","authors":"David Mitchell","doi":"10.1080/08919402.1924.10532928","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532928","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"108-146"},"PeriodicalIF":0.0,"publicationDate":"1924-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532928","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation of the Grades in Practice Teaching Received by Seniors in a College for Teachers, with Their Scores in the Thurstone Group Intelligence Test","authors":"Hazel Cooper","doi":"10.1080/08919402.1924.10532932","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532932","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"176-182"},"PeriodicalIF":0.0,"publicationDate":"1924-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Repetition and Association in Learning","authors":"H. Reed","doi":"10.1080/08919402.1924.10532929","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532929","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"146 1","pages":"147-155"},"PeriodicalIF":0.0,"publicationDate":"1924-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fundamental Issues in Evaluating Composition","authors":"Joseph C. Gainsburg","doi":"10.1080/08919402.1924.10532924","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532924","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"55-77"},"PeriodicalIF":0.0,"publicationDate":"1924-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532924","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention of the Misfits","authors":"Margaret S. McGill","doi":"10.1080/08919402.1924.10532923","DOIUrl":"https://doi.org/10.1080/08919402.1924.10532923","url":null,"abstract":"","PeriodicalId":54636,"journal":{"name":"Pedagogical Seminary","volume":"31 1","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"1924-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08919402.1924.10532923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59498534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}