Improving Quality and Safety in the Endoscopy Unit (Virtual) | November 2025-Defining and Measuring Quality in ERCP and EUS

Video Transcription

Video Summary

The presentation discusses updated quality indicators for Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP), emphasizing the importance of both cognitive and technical excellence. Key principles include ensuring appropriate indications, patient selection, skilled multidisciplinary teams, proper equipment, and thorough communication. For EUS, quality measures cover pre-procedure documentation and consent, judicious antibiotic use, standardized procedural techniques, diagnostic specimen adequacy, and detailed reporting of adverse events. Therapeutic EUS expands indications but requires cautious application due to evolving techniques. ERCP quality metrics stress appropriate indications, especially focusing on therapeutic over diagnostic use, technical success benchmarks like cannulation rates, risk mitigation strategies, and monitoring of complications such as pancreatitis. Post-procedure, tracking unplanned hospital visits and interventions is crucial. The speaker underscores the need for awareness of procedural complexity, referral when necessary, and continuous quality measurement to foster safety and effectiveness in these advanced endoscopic procedures.

Asset Subtitle

Jessica X. Yu, MD, MS

Keywords

Endoscopic Ultrasound

ERCP

Quality Indicators

Procedural Safety

Technical Excellence