Improving Quality and Safety in the Endoscopy Unit (On-Demand) | October 2024-ASGE ACG QI common to all GI endo 2024

ASGE ACG QI common to all GI endo 2024

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The document provides an overview of the quality indicators for gastrointestinal (GI) endoscopic procedures, developed with the backing of professional societies such as the American Society for Gastrointestinal Endoscopy (ASGE) and the American College of Gastroenterology (ACG). The focus is on delivering high-quality endoscopic care through structured, process, and outcome measures. Quality measures are categorized into structural, process, and outcome indicators and divided into three phases: preprocedure, intraprocedure, and postprocedure.<br /><br />Preprocedure indicators emphasize aspects like ensuring that endoscopy is performed for appropriate indications, obtaining informed consent, performing physical examinations, assessing risk for sedation-related events, and managing prophylactic antibiotics and antithrombotic therapy. Key performance metrics suggest targets close to 98% compliance in these areas to ensure standard practices.<br /><br />Intraprocedure indicators focus on proper patient monitoring, photo documentation, and handling sedation-related issues which may necessitate procedure interruption. Ensuring specimens are properly verified and documented forms another crucial part of these ongoing procedures.<br /><br />Postprocedure indicators advocate for the documentation of discharge criteria, provision of patient instructions, and communication of procedure outcomes and pathology results to the patient and involved providers. Emphasis is placed on documenting adverse events to track performance and identify areas for improvement.<br /><br />Priority indicators—those considered fundamental for initial quality improvement efforts—include appropriate indication for procedures, adequate management of antithrombotic therapy, antibiotic administration, and comprehensive documentation and assessment of adverse events.<br /><br />This document underscores the importance of continual quality improvement and the need for adherence to defined protocols to enhance patient outcomes, reduce variability, and maintain high standards in GI endoscopy practices. The ongoing review of these practices, facilitated by emerging data and endorsements by ASGE and ACG, aims to ensure optimal care delivery in endoscopy units.

Keywords

GI endoscopy

quality indicators

ASGE

ACG

preprocedure

intraprocedure

postprocedure

patient outcomes

adverse events

quality improvement