Improving Quality and Safety In Your Endoscopy Unit: Live and Virtual | October 2022-03_Elmunzer_Adv Endoscopy

03_Elmunzer_Adv Endoscopy _Updated

Pdf Summary

This document discusses quality indicators for advanced endoscopy procedures, including ERCP (Endoscopic Retrograde Cholangiopancreatography), EUS (Endoscopic Ultrasound), and upper gastrointestinal (GI) bleeding. The aim is to ensure that patients receive high-quality care during these procedures.<br /><br />The document emphasizes the importance of high-quality endoscopic procedures, which include accurate diagnoses, appropriate therapy, and minimized risk. Quality indicators are used to evaluate the performance of individuals or groups by comparing them to benchmarks. The first set of quality indicators was developed by the ASGE/ACG Task Force on Quality in Endoscopy in 2006.<br /><br />The document provides resources for understanding and implementing quality indicators, including articles published in Gastrointestinal Endoscopy. It also discusses the grade of recommendation and levels of evidence related to quality indicators.<br /><br />For ERCP, the document outlines quality indicators regarding appropriate indications, informed consent, training, annual volume, complete procedure reports, documented adverse events, and patient contact. It also highlights the importance of performing ERCP at institutions with higher volumes, as higher volumes are associated with improved outcomes and fewer complications.<br /><br />EUS quality indicators include appropriate indications and diagnostic rates for cancer, as well as adverse event rates such as pancreatitis, perforation, and clinically significant bleeding.<br /><br />Quality indicators for upper GI bleeding and EGD (Esophagogastroduodenoscopy) are also discussed, focusing on endoscopic treatment for bleeding ulcers, testing for H. pylori infection, prophylactic antibiotics for cirrhosis patients, and the use of proton pump inhibitors for suspected peptic ulcer bleeding.<br /><br />The document emphasizes the need for maintaining the highest level of quality in medical care and suggests focusing on meeting targets for priority indicators. It also mentions the possibility of quality improvement initiatives to address areas where targets are not being met.

Keywords

quality indicators

advanced endoscopy procedures

ERCP

EUS

upper gastrointestinal bleeding

high-quality care

diagnoses

therapy

risk minimization

ASGE/ACG Task Force