{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:09:43Z","timestamp":1790172583758,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Post\u2010sedation discharge criteria for outpatient endoscopy and time\u2010out procedures immediately before endoscopic examinations are important for ensuring patient safety. This study used a web\u2010based questionnaire to survey the implementation status and current situation of these practices in Japan in 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A self\u2010administered questionnaire was conducted from December 2023 to January 2024 using Google Forms. Participants were primarily from facilities involved in endoscopy study groups and readers of an endoscopy\u2010specific e\u2010newsletter. Additionally, medical staff from endoscopic centers across Japan were invited to participate in collaboration with the Japan Gastroenterological Endoscopy Technicians Society.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1,495 valid responses (medical staff: 1197 [80%]; doctors: 298) were collected from 1168 facilities, after excluding duplicate responses. Among the participating facilities, 58% were general hospitals, 21% were clinics or health check\u2010up centers, and 9% were university hospitals or national cancer centers. Post\u2010sedation discharge criteria were implemented in 58% of facilities for esophagogastroduodenoscopy and 56% for colonoscopy, with the post\u2010sedation recovery score used as the criterion in about half of these cases. Time\u2010out procedures were implemented in 57% of the facilities for both esophagogastroduodenoscopy\u00a0and colonoscopy. Items confirmed during time\u2010out in more than half of the facilities included: patient's name, details of antithrombotic drugs, content of examination, drug allergies, underlying disease, date of birth, consent form, age, procedure start time, and patient's identification number.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The implementation rate of post\u2010sedation discharge criteria and time\u2010out procedures was found to be close to 60%, reflecting the real\u2010world situation in Japan in 2024.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/deo2.70149","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T22:50:07Z","timestamp":1748386207000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Investigation of the actual implementation of \u201cpost\u2010sedation discharge criteria\u201d and \u201ctime\u2010out\u201d immediately before procedure in endoscopy: A nationwide survey study in Japan"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2641-4995","authenticated-orcid":false,"given":"Atsushi","family":"Imagawa","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Imagawa Medical Clinic Kagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7579-1316","authenticated-orcid":false,"given":"Motohiko","family":"Kato","sequence":"additional","affiliation":[{"name":"Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Koyama","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Tochigi Cancer Center Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuhiro","family":"Fujishiro","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2165-6388"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-944716"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12611"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2416-4866"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2021.014"},{"key":"e_1_2_11_7_1","first-page":"499","article-title":"Safe Outpatient Discharge After Gastrointestinal Endoscopy With Sedation and Analgesia: A Systematic Literature Review","volume":"37","author":"Spinou 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