Improving Quality and Safety In Your Endoscopy Unit (Virtual) | October 2021-03_Duloy

03_Duloy_Advanced Endoscopy

Pdf Summary

This document discusses quality indicators for advanced endoscopy procedures and upper gastrointestinal (GI) bleeding. The background states that all patients should have access to high-quality endoscopic procedures, which includes receiving appropriate procedures, correct diagnoses, and appropriate therapy. Quality indicators can help measure the quality of care provided by comparing individuals or groups to benchmarks. The first set of quality indicators was developed in 2006 by the ASGE/ACG Task Force on Quality in Endoscopy.<br /><br />The document then mentions resources for understanding quality indicators and provides information on grade of recommendation and levels of evidence. It goes on to discuss the quality indicators for ERCP (Endoscopic Retrograde Cholangiopancreatography) and EUS (Endoscopic Ultrasound), including appropriate indications, complications, difficulty grades, success rates, and specific indicators for conditions like PSC (Primary Sclerosing Cholangitis) and post-liver transplant patients.<br /><br />For upper GI bleeding, the document outlines quality indicators for endoscopic treatment of bleeding ulcers, documentation of plans to test for Helicobacter pylori infection, prophylactic antibiotics for patients with cirrhosis, and the use of proton pump inhibitors for suspected peptic ulcer bleeding.<br /><br />The take-home points emphasize the importance of maintaining high-quality care, reading quality documents, and focusing on meeting targets for priority indicators. If targets are not met, quality improvement initiatives can be implemented.<br /><br />Overall, this document provides an overview of quality indicators for advanced endoscopy and upper GI bleeding, highlighting their importance in ensuring high-quality care for patients.

Keywords

quality indicators

advanced endoscopy procedures

upper gastrointestinal bleeding

ASGE/ACG Task Force

ERCP

EUS

PSC

post-liver transplant

bleeding ulcers

Helicobacter pylori