Was developed to encourage improvement in general outcomes (e.g. adenoma detection price),and to make sure consistency and higher standards across clinical practice,within countries and across Europe,and was validated by the group in September . A phase pilot to test this tool was performed in November ,with early outputs discussed by the group in December . The audit tool was additional revised to Shikonin improve usability via a collaborative iteration method. Final results: The on the web audit tool was piloted at centres across European countries with patient visits recorded around the initial questionnaire throughout a week period. Inquiries integrated: patient demographics,the status and expertise of your practitioner performing the endoscopy,particulars in the bowel preparation process made use of and also the good quality of bowel cleansing achieved,colonoscopic findings,and follow up arrangements. Following the overview of the phase pilot,consensus from the ECQI group resulted within the refinement from the tool to make an updated version which included three separate sections: Practitioner,Centre and Patient level questionnaires to enhance efficiency of use. This may type element of a second phase pilot planned for . Conclusion: The creation with the ECQI Group enabled the improvement of a validated,practice level audit tool to enable clinicians to audit their very own practice. This tool will be tested within a second pilot phase,and its worth will be further evaluated by the Group so as to make recommendations for its use across Europe. The array of experience and geographical spread on the participants enables for high-quality evaluation to be compared across practices and nations. The longer term aim of this project is to enhance the high quality of colonoscopy at a practice level by enabling clinicians to be involved in enhancing their very own practice. Disclosure of Interest: J. Riemann Consultancy: Advisory board participant for Norgine,I. Demedts Consultancy: Advisory board participant for Norgine,A. Agrawal Consultancy: Advisory board participant for Norgine,R. Jover Consultancy: Advisory board participant for Norgine,A. Ono Consultancy: Advisory board participant for Norgine,P. Amaro Consultancy: Advisory board participant for Norgine,E. Toth Consultancy: Advisory board participant for Norgine,P. Eisendrath Consultancy: Advisory board participant for Norgine,A. Naidoo Conflict with: Employee of NorgineP IS WATERASSISTED COLONOSCOPY SUPERIOR CARBON DIOXIDE ASSISTED Typical COLONOSCOPY: Benefits OF AN OBSERVATIONAL STUDY A. K. Kurup,S. Shetty,S. Ishaq Gastroenterology,Russells Hall Hospital,Dudley,United KingdomTOContact E mail Address: drarunkumar_ukhotmail Introduction: Waterassisted colonoscopy [WAC] is recognized to lessen patient discomfort and increase the adenoma detection rate [ADR] . In this retrospective observational study,we compared water assisted colonoscopy against normal colonoscopy [SC] working with CO within a bowel cancer screening constructive population. Aims Procedures: This was a retrospective evaluation of prospectively collected information. The population studied was undergoing colonoscopies following a good faecal occult blood test as PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/19389808 part with the bowel cancer screening programme [BCSP]. Endoscopist A preferred to intubate the caecum working with the water exchange method and endoscopist B would insufflate the bowel working with carbon dioxide. Sedation and analgesic use was in the discretion of the endoscopist. The primary outcome was the adenoma detection price plus the comfort scores within the two groups. Secondary outcom.