GI Unit Leadership: Optimizing Endoscopy Operations through Leadership (On-demand) | February 2025-ASGE ACG quality indicators

ASGE ACG quality indicators_common to all GI endo procedures

Pdf Summary

The document outlines quality indicators for gastrointestinal (GI) endoscopic procedures, aiming to standardize and improve the quality of care. Endoscopy is crucial for diagnosing and treating GI conditions, and maintaining high-quality standards is essential. The American Society for Gastrointestinal Endoscopy (ASGE) and the American College of Gastroenterology (ACG) have collaborated to update these standards.<br /><br />Quality indicators are categorized into pre-procedure, intra-procedure, and post-procedure periods, with a focus on structural, process, and outcome measures. Structural measures assess the healthcare environment, process measures evaluate care delivery, and outcome measures look at the results of the care provided.<br /><br />Pre-procedure indicators include ensuring endoscopy is performed for appropriate, documented indications, obtaining informed consent, conducting pre-procedure history and physical examinations, creating a sedation plan, judicious use of prophylactic antibiotics, and a plan for managing antithrombotic therapy. A team pause to verify patient identification and procedure type, and ensuring endoscopy is performed by credentialed individuals are also highlighted.<br /><br />Intra-procedure indicators emphasize photo documentation of key findings, patient monitoring during sedation, documentation of procedure interruption, and specimen verification, ensuring thorough safety and quality assurance.<br /><br />Post-procedure indicators focus on documenting patient discharge, providing clear instructions, communicating findings and recommendations to patients and healthcare providers, creating complete procedure reports, documenting adverse events, tracking adverse event rates, and gathering patient satisfaction data.<br /><br />Priority indicators include ensuring appropriate indications for procedures, administering prophylactic antibiotics judiciously, properly managing antithrombotic therapy, and capturing adverse events comprehensively.<br /><br />The updated guidelines, based on new data and expert consensus, strive to harmonize endoscopy practices, enhance patient outcomes, and provide a structured framework for ongoing quality improvement in GI endoscopy.

Keywords

GI endoscopy

quality indicators

ASGE

ACG

pre-procedure

intra-procedure

post-procedure

patient safety

outcome measures

quality improvement