Improving Quality & Safety in Your Endoscopy Unit (Virtual) | February 2022-01_Shimpi

01_Shimpi_What Constitutes Quality

Pdf Summary

This document discusses the components of quality in endoscopy and the importance of quality in gastrointestinal endoscopy. It highlights the variability in endoscopy quality and the impact it has on clinical outcomes. The document also emphasizes the need for measurement of outcomes and the identification of providers with varying levels of quality. The Variable Quality of Diagnostic Colonoscopy is an established issue, with the Adenoma Detection Rate (ADR) being a key measure. It is found that each 1% increase in ADR is associated with a 5% decrease in the risk of fatal interval colorectal cancer. The document also mentions the implementation of a successful quality improvement program, which involves assembling the right team, setting achievable goals, and tying quality improvement into academic productivity. The Donabedian Model is discussed, which looks at the structure, process, and outcomes of quality care. The document also provides information on diversity, equity, and inclusion (DEI) in quality care. It states that DEI is increasingly recognized as an important component of quality care and highlights the various opportunities to focus on DEI considerations. The document concludes by summarizing that quality has multiple components, there is variability in endoscopy quality, quality improvement requires a team, and there are numerous opportunities for improvement.

Keywords

quality

endoscopy

clinical outcomes

providers

Adenoma Detection Rate

fatal interval colorectal cancer

quality improvement program

team

Donabedian Model

diversity