Improving Quality and Safety in the Endoscopy Unit (Virtual) | August 2023-ASGE Interventions to improve upper endoscopy

ASGE Interventions to improve upper endoscopy

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This document summarizes a systematic review of the literature on interventions aimed at improving the performance of quality indicators for upper gastrointestinal (GI) endoscopy, specifically esophagogastroduodenoscopy (EGD). EGD is a common diagnostic and therapeutic procedure performed for various indications.<br /><br />The review identified several interventions that have been shown to improve the compliance with established quality indicators for EGD. These interventions include ensuring appropriate indications for the procedure, implementing standardized order sets and checklists to improve compliance with preprocedural therapies, and using educational interventions to enhance the recognition and management of specific conditions such as Barrett's esophagus.<br /><br />The review also highlighted the importance of complete and accurate documentation during the procedure, including the description of findings and interventions performed. Interventions such as quality audits and the use of dictation templates have been shown to improve the quality of procedural documentation.<br /><br />Additionally, the review identified opportunities for improvement in postprocedural quality indicators, such as providing patients with clear instructions and follow-up plans. Supplementing patients with written discharge instructions and summaries of the procedure results and plans for follow-up has been shown to improve patient compliance with care.<br /><br />Overall, the review emphasizes the need for ongoing efforts to track and monitor performance indicators for EGD and to implement evidence-based interventions that can lead to improvement. The authors highlight the importance of prioritizing these performance measures and overcoming barriers to their dissemination and implementation in clinical practice. They also highlight the need for future research to focus on key practices that optimize diagnostic and therapeutic yield and patient safety in upper GI endoscopy.

Keywords

systematic review

interventions

quality indicators

upper gastrointestinal endoscopy

esophagogastroduodenoscopy

compliance

documentation

discharge instructions

follow-up plans

patient safety