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• W1977353040 abstract "Introduction: A task force formed by the ASGE and ACG recently developed a list of quality indicators for the pre-procedure, intra-procedure and post-procedure phases of each endoscopic procedure. We set out to define the prevalence of the intra-procedure quality indicators in our esophagogastroduodenoscopy (EGD) cases and to identify areas for improvement within our practice. Methods: Using information recorded in our electronic endoscopy record (Endosoft, Schenectady NY) we created a database of all EGD procedures performed at Mayo Clinic Jacksonville from June 2006 through June 2007. Using this database, we identified 350 cases involving Barrett's esophagus. The published intra-procedure EGD quality indicators appropriate to each indication were measured and the prevalence of each indicator was determined. In addition, we collected data on the prevalence of acid suppression recommendations for Barrett's Esophagus cases, though not currently a recommended quality indicator. Data collection for the remaining indications (Duodenal or Gastric Ulcers, Erosive Esophagitis and Peptic strictures) is currently in process. Results: The prevalence of intra-procedure quality indicators among Barrett's esophagus cases varied (Table 1). Compliance with complete examination and biopsy of suspected BE was high, however we identified one area, measurement of relevant landmarks, for quality improvement. We had high prevalence of acid suppression recommendation for our Barrett's cases, when clinical notes were included, however the prevalence of recommendation on endoscopy report was low (table 1). Conclusion: This study provides a large center assessment of the new ASGE-ACG quality metrics in EGD cases. It demonstrates areas of high quality as well as areas for improvement. It is not known if differences in quality are due to procedure performance or documentation. Using this model for quality assessment and continuous quality improvement we will develop a quality improvement plan and will re-measure metrics. We will continue to collect data on the remaining indications and will report those results once data collection is complete. Table 1Intra-procedure quality indicators Quality Indicator Cases requiring Cases achieved % prevalence Barrett's cases Complete examination of esophagus, stomach and duodenum, including retroflexion in the stomach. 350 319 91% Barrett's esophagus measured when present, with location of GE junction and SCJ in centimeters from incisors 350 185 53% Biopsy specimens obtained in all cases of suspected Barrett's esophagus 350 333 95% Acid suppression recommendation for Barrett's esophagus Any recommendation given 350 309 88% Recommendation included on endoscopy report 350 11 3% Open table in a new tab" @default.
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• W1977353040 date "2008-04-01" @default.
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• W1977353040 title "Assessment of Quality for Esophagogastroduodenoscopy Using the ASGE-ACG Quality Indicators" @default.
• W1977353040 doi "https://doi.org/10.1016/j.gie.2008.03.404" @default.
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