Improving Quality and Safety In Your Endoscopy Unit (Virtual) | October 2021-Advanced Endoscopy and Upper GI Bleeding Quality Indicators

Video Transcription

Video Summary

The video discusses quality indicators for EGD, ERCP, and EUS procedures. The speaker starts by asking polling questions to the audience about their unit's performance in certain areas such as cannulation rates and success rates in removing stones and stenting biliary strictures. The speaker then discusses the importance of tracking post-ERCP pancreatitis rates and highlights the need for high-quality endoscopic procedures. Quality indicators are defined as measures of performance to identify poor performers and improve care. The speaker mentions that these quality indicators were developed by the ASGE-ACG Task Force on Quality in Endoscopy and divided into pre-procedure, intra-procedure, and post-procedure categories. They are graded based on the strength of supporting evidence and given performance targets. The speaker goes on to discuss specific quality indicators for ERCP, such as appropriate indications, informed consent, antibiotic administration, and cannulation success rates. They also mention the importance of measuring fluoroscopy time and radiation dose, as well as documenting adverse events and post-ERCP follow-up. The speaker then moves on to quality indicators for EUS, including appropriate indications, informed consent, and documentation of findings. They highlight the importance of TNM staging, diagnostic rates, and adverse event documentation in EUS procedures. Finally, the speaker discusses quality indicators for upper GI bleeding, such as the use of prophylactic antibiotics and PPIs, as well as the importance of documenting bleeding sites, stigmata, and achievement of primary hemostasis. They also mention the importance of testing for H. pylori and the need for repeat endoscopy in recurrent bleeding cases. The speaker emphasizes the importance of reading the full quality indicator documents and focusing on priority indicators to improve the quality of endoscopic procedures.

Asset Subtitle

Anna Duloy, MD

Keywords

quality indicators

EGD

ERCP

EUS procedures

cannulation rates

stone removal

post-ERCP pancreatitis rates