Improving Quality and Safety In Your Endoscopy Unit: On-Demand | October 2022 OLQUALOCT22-Advanced Endoscopy and Upper GI Bleeding Quality Indicators

Video Transcription

Video Summary

In this video, the presenter, Joel Munzer, discusses quality indicators in advanced endoscopic procedures and upper GI bleeding. He emphasizes the importance of high-quality endoscopic procedures and the goal of providing every patient with access to these procedures. Munzer explains that quality indicators can be used to measure and evaluate the performance of individual endoscopists and units, comparing them to benchmarks. He discusses the different types of quality indicators, including structural, process, and outcome indicators.<br /><br />Munzer specifically focuses on quality indicators for ERCP (endoscopic retrograde cholangiopancreatography), EUS (endoscopic ultrasound), and upper GI bleeding. He highlights the importance of appropriate indications for ERCP and EUS procedures, the need for informed consent and documentation, and the frequency of prophylactic antibiotics. He also discusses the importance of endoscopists' training and experience, achieving deep cannulation, and reducing adverse events.<br /><br />In the case of upper GI bleeding, Munzer discusses quality indicators related to appropriate prophylactic antibiotics, pharmacotherapy (such as proton pump inhibitors and octreotide), documentation of ulcer characteristics, and the use of dual therapy for ulcers with bleeding vessels.<br /><br />Munzer emphasizes the need for continual measurement and improvement in performance to provide high-quality endoscopic care. He encourages endoscopists to familiarize themselves with the ASGE quality indicator documents and use them as a framework for building a quality assurance infrastructure in their units. He also mentions that the ASGE is working on interventions to improve performance and meet quality indicators in these procedures.

Asset Subtitle

Joe Elmunzer, MD

Keywords

quality indicators

advanced endoscopic procedures

upper GI bleeding

ERCP

EUS

prophylactic antibiotics

ASGE quality indicator documents