Improving Quality and Safety In Your Endoscopy Unit: On-Demand | October 2022 OLQUALOCT22-03_Elmunzer_Adv Endoscopy

03_Elmunzer_Adv Endoscopy _Updated

Pdf Summary

This document discusses quality indicators for advanced endoscopy procedures, specifically ERCP (endoscopic retrograde cholangiopancreatography), EUS (endoscopic ultrasound), and upper GI bleeding. The goal of these quality indicators is to ensure that patients receive appropriate procedures, accurate diagnoses, and appropriate therapy, while minimizing risks. The document emphasizes the importance of evaluating the performance of individuals or groups compared to benchmarks in order to identify poor performers and retrain or educate them to meet performance targets.<br /><br />The document provides resources for understanding quality indicators and the levels of evidence supporting them. It then discusses specific quality indicators for ERCP, such as appropriate indications, informed consent, training and credentialing, and volume-outcomes relationship. It also addresses the difficulty grades for ERCP and the importance of knowing one's limits.<br /><br />For EUS, the document covers appropriate indications, quality indicators such as adverse event rates and diagnostic sensitivity for cancer in pancreatic masses.<br /><br />Lastly, it addresses quality indicators for upper GI bleeding, including endoscopic treatment for ulcers with bleeding, testing for Helicobacter pylori infection in patients with gastric or duodenal ulcers, prophylactic antibiotics for patients with cirrhosis and acute upper GI bleeding, and the use of proton pump inhibitors for suspected peptic ulcer bleeding.<br /><br />In conclusion, the document emphasizes the importance of maintaining the highest level of quality in endoscopic procedures and encourages healthcare professionals to read the quality documents and focus on meeting targets for priority indicators. It also mentions that interventions to improve quality indicators will be released in the future.

Keywords

quality indicators

advanced endoscopy procedures

ERCP

EUS

upper GI bleeding

performance evaluation

benchmarks

informed consent

adverse event rates

diagnostic sensitivity