Clin Endosc.  2019 Sep;52(5):431-442. 10.5946/ce.2019.164.

Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit

• Lee TH
• Yoon JY
• Paik CN
• Choi HS
• Jang JY
• The Quality Management Committee of The Korean Society of Gastrointestinal Endoscopy

• KMID: 2464664
• DOI: http://doi.org/10.5946/ce.2019.164

Abstract

Endoscopic quality indicators can be classified into three categories, namely facilities and equipment, endoscopic procedures, and outcome measures. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the accreditation of qualified endoscopy unit assessment items for these quality indicators to establish competence and define areas of continuous quality improvement. Here, we presented the updated program guidelines on the facilities, procedures, and performance of the accredited endoscopy unit. Many of these items have not yet been validated. However, the updated program will help in establishing competence and defining areas of continuous quality improvement in Korean endoscopic practice.

Keyword

Facility; Equipment; Process; Performance indicator

MeSH Terms

Accreditation
Endoscopy*
Endoscopy, Gastrointestinal
Mental Competency
Outcome Assessment (Health Care)
Quality Improvement

Reference

1. Mulder CJ, Tan AC, Huibregeste K. Guidelines for designing an endoscopy unit: report of the Dutch Society of Gastroenterologists. Endoscopy. 1997; 29:I–VI.

2. Rey JF. Quality control on endoscopic maintenance and repair services: safety considerations for the patient. Dig Dis. 2008; 26:7–10.

3. Francis DL. Automated processes to improve the quality and safety in an endoscopic practice. Clin Gastroenterol Hepatol. 2014; 12:540–543.

4. ASGE Endoscopy Unit Quality Indicator Taskforce, Day LW, Cohen J, et al. Quality indicators for gastrointestinal endoscopy units. VideoGIE. 2017; 2:119–140.

5. Rizk MK, Sawhney MS, Cohen J, et al. Quality indicators common to all GI endoscopic procedures. Gastrointest Endosc. 2015; 81:3–16.

6. Sajid MS, Caswell J, Bhatti MI, Sains P, Baig MK, Miles WF. Carbon dioxide insufflation vs conventional air insufflation for colonoscopy: a systematic review and meta-analysis of published randomized controlled trials. Colorectal Dis. 2015; 17:111–123.

7. ASGE Technology Committee, Lo SK, Fujii-Lau LL, et al. The use of carbon dioxide in gastrointestinal endoscopy. Gastrointest Endosc. 2016; 83:857–865.

8. Atkinson J, Chartier Y, Pessoa-Silva CL, Jensen P, Li Y, Seto WH, editors. Natural ventilation for infection control in health-care settings. 3:Infection and ventilation. Geneva: World Health Organization;2009.

9. ASGE Quality Assurance in Endoscopy Committee, Calderwood AH, Day LW, et al. ASGE guideline for infection control during GI endoscopy. Gastrointest Endosc. 2018; 87:1167–1179.

10. ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force, Calderwood AH, Chapman FJ, et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc. 2014; 79:363–372.

11. Bjorkman DJ, Popp JW Jr. Measuring the quality of endoscopy. Gastrointest Endosc. 2006; 63(4 Suppl):S1–S2.

12. Cohen J, Safdi MA, Deal SE, et al. Quality indicators for esophagogastroduodenoscopy. Gastrointest Endosc. 2006; 63(4 Suppl):S10–S15.

13. Park WG, Shaheen NJ, Cohen J, et al. Quality indicators for EGD. Am J Gastroenterol. 2015; 110:60–71.

14. Min JK, Cha JM, Cho YK, et al. Revision of quality indicators for the endoscopy quality improvement program of the National Cancer Screening Program in Korea. Clin Endosc. 2018; 51:239–252.

15. Rex DK, Petrini JL, Baron TH, et al. Quality indicators for colonoscopy. Am J Gastroenterol. 2006; 101:873–885.

16. Rex DK, Schoenfeld PS, Cohen J, et al. Quality indicators for colonoscopy. Gastrointest Endosc. 2015; 81:31–53.

17. Rees CJ, Thomas Gibson S, Rutter MD, et al. UK key performance indicators and quality assurance standards for colonoscopy. Gut. 2016; 65:1923–1929.

18. European Colorectal Cancer Screening Guidelines Working Group, von Karsa L, Patnick J, et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: overview and introduction to the full supplement publication. Endoscopy. 2013; 45:51–59.

19. Valori R, Cortas G, de Lange T, et al. Performance measures for endoscopy services: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. Endoscopy. 2018; 50:1186–1204.

20. Faigel DO, Pike IM, Baron TH, et al. Quality indicators for gastrointestinal endoscopic procedures: an introduction. Gastrointest Endosc. 2006; 63(4 Suppl):S3–S9.

21. Rutter MD, Senore C, Bisschops R, et al. The European Society of Gastrointestinal Endoscopy quality improvement initiative: developing performance measures. United European Gastroenterol J. 2016; 4:30–41.

22. Siau K, Green JT, Hawkes ND, et al. Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond. Frontline Gastroenterol. 2019; 10:93–106.

23. Tantiphlachiva K, Rao P, Attaluri A, Rao SS. Digital rectal examination is a useful tool for identifying patients with dyssynergia. Clin Gastroenterol Hepatol. 2010; 8:955–960.

24. Vanner SJ, MacDonald PH, Paterson WG, Prentice RS, Da Costa LR, Beck IT. A randomized prospective trial comparing oral sodium phosphate with standard polyethylene glycol-based lavage solution (Golytely) in the preparation of patients for colonoscopy. Am J Gastroenterol. 1990; 85:422–427.

25. Kolts BE, Lyles WE, Achem SR, Burton L, Geller AJ, MacMath T. A comparison of the effectiveness and patient tolerance of oral sodium phosphate, castor oil, and standard electrolyte lavage for colonoscopy or sigmoidoscopy preparation. Am J Gastroenterol. 1993; 88:1218–1223.

26. Kazarian ES, Carreira FS, Toribara NW, Denberg TD. Colonoscopy completion in a large safety net health care system. Clin Gastroenterol Hepatol. 2008; 6:438–442.

27. ASGE Standards of Practice Committee, Saltzman JR, Cash BD, et al. Bowel preparation before colonoscopy. Gastrointest Endosc. 2015; 81:781–794.

28. Kaminski MF, Regula J, Kraszewska E, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010; 362:1795–1803.