Josep Llach

Publications (2)1.38 Total impact

• Article: [Patient satisfaction in gastrointestinal endoscopy: results of a multicenter study].

  Antonio Sánchez Del Río, Rafel Campo, Josep Llach, Vicente Pons, Ghassan Mreish, Agustí Panadés, Adolfo Parra-Blanco
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  ABSTRACT: The aim of this study was to determine the main quality problems perceived by patients in gastrointestinal endoscopy through a satisfaction survey. A total of 321 patients from five gastrointestinal endoscopy units were included. Telephone interviews using a previously validated questionnaire on several aspects related to the procedure were carried out. Pareto analyses were performed to pinpoint the most common aspects among the vital few causes at each medical center. Based on the questionnaire, the satisfaction indicators were calculated for each center: the overall satisfaction score (the sum of the responses to the eight questions) and the rate of perceived problems (number of questions with a negative response divided by the number of questions asked). The most frequent aspects among the vital few were waiting time for an appointment and discomfort during the examination, since both factors were included in the vital few in four of the five medical centers. Significant differences were found among centers in the overall satisfaction score (questionnaire score) (p < 0.001) and for the rate of perceived problems (p < 0.001). According to the patients, the most problematic aspects were waiting time until the day of the appointment and discomfort during the examination. Perceived quality differed among the participating centers.
  Gastroenterología y Hepatología 11/2008; 31(9):566-71. · 0.73 Impact Factor
• Article: Variation among endoscopy units in the achievement of the standards of colonoscopic performance indicators.

  Antonio Sánchez del Río, Rafel Campo, Josep Llach, Vicente Pons, Ghassan Mreish, Agustí Panadés, Adolfo Parra, D Nicolás, E Quintero, M Nieto, [......], V Pons, L Argüello, T Sala, V Pertejo, R Campo, E Brullett, F Junquera, V Puig-Divi, X Calvet, A Montserrat
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  ABSTRACT: To assess the achievement of quality standards of colonoscopy at six endoscopy units. Three indicators were used to assess the quality of 1056 colonoscopies performed at six hospitals: cecal intubation; adequate colon cleansing; and removal and recovery of all detected polyps. Analyses were performed on the total number of colonoscopies and on colonoscopies in which polyps were actually detected. The accomplishment of each indicator and a global compound index of all three indicators, named the Problem Rate, were analyzed. Results from each endoscopy unit were compared to previously established standards. Adequate colon cleansing was the most frequent problem for quality in all centers; adequate colon preparation was 67% (range 50 to 84%). The cecum was reached in 84% of all colonoscopies (range 76 to 90%). 75% of all patients (range 28. 79%) had all polyps excised and recovered. All centers had rates below standard for one or several indicators (p<0.01, all cases). Two of the participant hospitals had an overall problem rate above the estimated standard (p<0.01). There is a significant variation in the achievement of quality standards of colonoscopy between endoscopy units. Colon cleansing is the most frequent quality problem for colonoscopy.
  Hepato-gastroenterology 55(86-87):1594-9. · 0.66 Impact Factor