How do I reduce the inadequate bowel prep rate at my ASC?

Inadequate bowel preparation affects roughly 20 to 25 percent of colonoscopies at baseline (Beran 2024, n=358,257). When the prep is inadequate, the procedure is often repeated, abandoned, or shortened, and the downstream cost is clinical as well as operational: inadequate preparation is associated with a higher adenoma miss rate (Lebwohl 2011) and, in inpatients, with longer stays and higher costs (Yadlapati 2015).

The instruction usually fails for ordinary reasons. It is handed over at booking, weeks before it is needed; it is in dense clinical language; it is not in the patient’s first language; the split-dose timing is misunderstood; and there is no checkpoint until the patient arrives, when it is too late to fix. A reminder to attend does not solve any of these, because the gap is comprehension and timing, not memory of the date.

Better prep instructions raise the share of adequately prepared patients; they do not eliminate inadequate prep. Some patients will still struggle regardless of coaching, and some inadequate preparation has medical rather than instructional causes. Aescia improves the part that is driven by comprehension, timing, and confirmation, which the literature suggests is a meaningful part, not all of it.

Because Aescia is pre-first-customer, it does not publish its own reduction figure. The ROI calculator on the Clinics page lets you scale the published effect sizes to your own inadequate-prep rate and scope volume, and the conservative band is the only one Aescia commits to in writing during a design-partner pilot, measured against your own baseline.