- Use of Flumazenil
- Use of Naloxone
- Sustained drop in O₂ saturation <90%
- Need for ventilation
- Perforation by procedure
- Bleeding by procedure
- Unplanned operations within 8 days
- Post colonoscopy colorectal cancer
It is a requirement of any endoscopy service to have a system in place to identify any missed cancers that they identified or were made aware of post procedure. We expect that such cases (within the past 3 years) are reviewed (RCA) to identify learning.
The assessment team would always expect safety to be a core agenda/minuted item and any near misuse, adverse events or audits to be minuted.
If your service has not identified any missed cancers in the past 3 years then your endoscopists should be well aware of PCCRC. This has no relevance to 62 day cancer tracking pathways that have delays in the process.
It is 100% related to colorectal cancer that has been identified later in a patient’s pathway but not picked up by a prior colonoscopy.
The cancer registry will communicate any missed cancers later this year directly to trusts which will make the process easier but the services must ensure that these are investigated fully.