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

01_ASGE Quality_Pannala_High Quality Endo Unit

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In this document, Dr. Rahul Pannala discusses the importance of quality in endoscopy units and provides strategies for improving quality care. He emphasizes that quality in healthcare goes beyond effectiveness and includes factors such as patient-centered care and equitable access. Pannala highlights the variation in quality between providers and endoscopy centers and the impact this has on outcomes. He explains that measuring quality is crucial in identifying areas for improvement and driving positive change. Measurement tools like adenoma detection rate (ADR) and success rate in ERCP procedures are discussed as indicators of quality. Pannala also discusses the Donabedian Model, which encompasses structure, process, and outcomes as key components of quality care. He explains that quality improvement projects can be conducted using approaches like PDSA (Plan, Do, Study, Act) and DMAIC (Define, Measure, Analyze, Improve, Control). The importance of assembling a dedicated quality improvement team, including physicians, nurses, IT resources, and analysts, is stressed. Pannala also emphasizes the role of data collection and analysis in measuring and improving quality. He discusses strategies for improving care, such as clinical decision support tools, checklists, and team-based training exercises. Finally, he emphasizes the importance of equitable care and patient-centeredness in achieving high-quality endoscopy. In summary, Pannala highlights the need for structured approaches to quality improvement and the importance of a team-based approach in delivering high-quality endoscopy services.

Keywords

endoscopy units

quality care

patient-centered care

equitable access

measuring quality

adenoma detection rate

Donabedian Model

quality improvement projects

data collection and analysis

equitable care