Indicators of Excellence in Endoscopy

When Details Make All the Difference

Why Choose Amruševa Polyclinic?

At Amruševa Polyclinic, we believe that “quality” is not just a word but a measurable standard.

Our examinations adhere to the most up-to-date European professional guidelines (ESGE, WSES, ESGENA), and every step: from visualization and documentation, to procedures and hygiene – follows clearly defined indicators.

This way, we provide patients not only with an examination, but also with the assurance that all interventions and procedures are performed thoroughly, meticulously, and according to the highest international criteria.

Our approach is based on measurable elements, well-defined figures, and controlled processes – because only then does each examination become a reliable basis for timely diagnosis and appropriate post-procedure care.

HYGIENE STANDARDS

Indicators of Excellence in Policlinic Amruševa

Why choose Us – Gastroscopy Quality Indicators

(in accordance with ESGE guidelines – European Society of Gastrointestinal Endoscopy)

Quality Indicator
Policlinic Amruševa
ESGE Standard / Comment
Visualization of all anatomical regions (Z-line, fundus, antrum, bulb, D2)
Standard in every procedure
All esophagus, stomach, and duodenum regions must be covered
Examination time (without therapy)
Minimum ≥ 6 minutes
ESGE recommends ≥ 6 minutes for a quality diagnostic endoscopy
Biopsies per protocol
Taken regularly and based on indications
Recommended for gastritis, infection suspicion, Barrett’s esophagus etc.
Histopathological analysis (PHD)
In cooperation with GI pathology experts
Crucial for early and accurate diagnosis of malignant changes
Photodocumentation
Routinely performed and digitally archived
Mandatory for medical documentation and follow-up

Glossary:

  •  Z-line – junction between esophagus and stomach
  • D2 – second part of the duodenum
  • PHD – pathology/histology of sampled tissue
  • ESGE – European Society of Gastrointestinal Endoscopy
  • Q-Endoscopy – quality metrics for documentation and duration

Why Choose Us – Colonoscopy Quality Indicators

(in accordance with ESGE and WSES guidelines – European Society of Gastrointestinal Endoscopy and World Society of Emergency Surgery)

Quality Indicator
Policlinic Amruševa
Standard / Comment
CIR – Cecal Intubation Rate
more than 95 %
ESGE minimum ≥ 90 %; optimal ≥ 95 %
ADR – Adenoma Detection Rate
more than 30 % in men, more than 20 % in women
ESGE minimum ≥ 25 % (men), ≥ 15 % (women)
Withdrawal time
more than 7 minutes
ESGE recommendation ≥ 6 minutes
Biopsies and polypectomies in same session
Routinely performed
Recommended for timely diagnosis and treatment
AI assistance (CAD-EYE®)
Available
Extra layer of detection; not yet universal standard
Full photodocumentation
Mandatory and archived
Ensures thoroughness and medico-legal clarity
Sedation / anesthesia
Anesthesiologist always present
Improves comfort and safety, based on indication
Perforation rate
0 in more than 2000 procedures
WSES: ≤ 0.1 % (diagnostic); ≤ 0.2 % (therapeutic)
Emergency care protocol
Contract with KB Dubrava
24/7 multidisciplinary emergency care with surgical backup

Glossary:

  • CIR – Cecal Intubation Rate (reaching start of large bowel)
  • ADR – Adenoma Detection Rate (polyps identified)
  • CAD-EYE® – computer-assisted polyp detection
  • WSES – World Society of Emergency Surgery

Why Choose Us – Endoscope Hygiene & Safety Standards

(in accordance with ESGE and ESGENA guidelines – European Society of Gastrointestinal Endoscopy and European Society of Gastroenterology and Endoscopy Nurses and Associates)

Hygiene Process
Policlinic Amruševa
ESGE / ESGENA Recommendation
Manual cleaning after each procedure
Performed immediately post-exam
Essential to prevent biofilm formation
Leak test (scope integrity check)
Mandatory before each disinfection
Routine part of international protocols
Automatic endoscope reprocessing (AER)
Thermo-chemical cycle with validation
Compliant with EN ISO 15883 standard
Microbiological control of scopes & water
Regular testing with documented logs
ESGE: every ≤3 months or per risk-based schedule
Physical separation: clean vs. dirty zones
Dedicated rooms for reprocessing
Strongly recommended by ESGE/ESGENA
Staff training & process documentation
Trained technicians with audit trail
ESGENA includes formal training and auditing

Glossary:

  • ESGE – European Society of Gastrointestinal Endoscopy
  • ESGENA – European Society of Gastroenterology and Endoscopy Nurses and Associates
  • AER – Automated Endoscope Reprocessor
  • EN ISO 15883 – international standard for disinfection equipment

Schedule your appointment today!

For any information and details, we are at your disposal

Telephone +385 1 646 1171

Contact

Address
Amruševa 6, 10000 Zagreb
Telephone
+385 1 646 1171
E-mail
poliklinika@amruseva.hr

Business hours

MON – THU: 8:00 – 20:00 h
FRI: 8:00 – 19:00 h