A quality assurance monitor on preparation for outpatient lower endoscopic procedures.

A two-phase quality assurance monitor was performed with a pediatric outpatient population to determine how well the current preparation of Fleet Phospho-Soda, Fleet enemas, and diet modification cleaned the colon. We studied 99 patients in Phase 1, implemented changes, and then studied 99 patients in Phase 2. Phase 2 found increasing age to be significantly related to decreasing cleanliness of the transverse colon, ascending colon, and cecum, and increasing weight was found to be significantly related to decreasing cleanliness of the cecum. Phase 2 also found the second enema to be significant for increasing cleanliness of the rectum.