PTH-144 Aligning jets sedation key performance indicator measurements with current UK standards: impact on trainee outcome

Background The measurement of sedation KPIs in colonoscopy varies between JETS certification criteria and recent UK standards. To align standards in preparation for the National Endoscopy Database (NED), changes were recently made on JETS: 1) measuring average sedation doses, when used, with mean vs. median, and 2) reducing the maximum recommended midazolam dose in patients aged 70+from mean of 2.5 mg to median of 2 mg. We aimed to explore the impact of these changes on trainee outcomes of exceeding recommended average doses. Methods Sedation KPIs for midazolam [M], fentanyl [F] and pethidine [P] were extracted from the JETS e-Portfolios of trainees awarded provisional colonoscopy certification (PCC) between June 2011–2016, and stratified by drug and age ( Results 733 trainees performed 36 650 procedures with M (75.6%), F (49.6%) and P (25.3%). Normality testing indicated the skewed distribution of sedation doses, which supported the use of medians. At trainee-level, changing mean to median resulted in smaller average doses of M, F and P for patients aged Conclusions The JETS sedation KPIs have aligned with UK standards. As this may affect trainee outcome, all colonoscopy trainees and trainers should take note and exercise caution with sedation use, particularly in elderly patients.