Improving Quality and Safety in the Endoscopy Unit (On-Demand) | August 2023-01_ASGE Quality_Pannala

01_ASGE Quality_Pannala_High Quality Endo Unit

Pdf Summary

This document is a summary of a presentation by Dr. Rahul Pannala on the topic of quality improvement in endoscopy units. The presentation highlights the importance of quality in healthcare and the need for improvement in gastrointestinal endoscopy units.<br /><br />The presentation discusses the domains and definition of quality in healthcare and why it is important in gastrointestinal endoscopy. It emphasizes the need for a structured approach to quality improvement and introduces the concept of a recognition program for endoscopy units.<br /><br />The document also mentions the importance of equitable and patient-centered care in achieving quality in endoscopy. It highlights regional variations in colonoscopy costs and the need to shift from volume to value in healthcare.<br /><br />The presentation explores the measurement of outcomes in endoscopy and discusses the variability in quality between providers. It mentions specific quality metrics, such as adenoma detection rate (ADR) and success rates in ERCP procedures. The impact of quality on outcomes, like interval colorectal cancer, is also discussed.<br /><br />The document provides insights into various approaches to defining and improving quality in endoscopy units. It introduces the Donabedian Model, which considers structure, process, and outcomes in defining quality. It also discusses the PDSA and DMAIC models as approaches to quality improvement projects.<br /><br />The presentation emphasizes that quality in healthcare is a team effort and recommends assembling the right team for quality improvement initiatives. It suggests the inclusion of physicians, nurses, analysts, and IT resources in the team. The document also mentions the challenges in measuring quality and suggests various methods, including manual chart review, data registries, and artificial intelligence.<br /><br />The document concludes by highlighting the importance of equitable care and patient-centeredness in achieving quality in endoscopy units. It provides a summary of the key points discussed in the presentation and emphasizes the need for a culture of safety and high-quality care in endoscopy units.

Keywords

quality improvement

endoscopy units

healthcare

gastrointestinal endoscopy

structured approach

recognition program

equitable care

patient-centered care

quality metrics

team effort