Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Setting up a quality assurance program in endoscopy.

G Naylor1, L Gatta, A Butler

  • 1Centre for Digestive Diseases, Leeds General Infirmary, Leeds, United Kingdom.

Endoscopy
|August 21, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pro-arrhythmic effects of gain-of-function potassium channel mutations in the short QT syndrome.

Philosophical transactions of the Royal Society of London. Series B, Biological sciences·2023
Same author

Review: Preference elicitation methods for appropriate breeding objectives.

Animal : an international journal of animal bioscience·2022
Same author

Carbon dioxide levels in neonates: what are safe parameters?

Pediatric research·2021
Same author

Characteristics of a later life population in a general adult community mental health service setting.

Irish journal of psychological medicine·2021
Same author

Imaging of intestinal transplantation.

Clinical radiology·2019
Same author

Imaging of adult intestinal failure.

Clinical radiology·2019
Same journal

Feasibility and safety of an adaptive endoscopic resection algorithm guided by the muscle-retracting sign for early rectal cancer.

Endoscopy·2026
Same journal

Computer-aided detection in surveillance colonoscopy: a population-based randomized trial.

Endoscopy·2026
See all related articles

Implementing a Quality Assurance (QA) program in endoscopy units is feasible. Effective QA requires adequate resources, technology, and clear performance guidelines for improved patient care.

Area of Science:

  • Gastroenterology
  • Healthcare Quality Improvement
  • Medical Auditing

Background:

  • Growing demand for demonstrable quality of care and cost-effectiveness in healthcare.
  • A large teaching hospital's endoscopy unit performs over 6000 procedures annually.
  • Development and implementation of a novel Quality Assurance (QA) program designed as a potential model for endoscopy QA.

Purpose of the Study:

  • To establish a comprehensive Quality Assurance (QA) program for a busy endoscopy unit.
  • To audit key performance indicators for colonoscopy and ERCP procedures.
  • To assess patient satisfaction, equipment functionality, and endoscope disinfection protocols.

Main Methods:

  • Formation of a dedicated QA team and comprehensive literature review.

Related Experiment Videos

  • Initial 3-month audit focusing on procedure indications and complications, leading to specialization in colonoscopy and ERCP.
  • Data collection based on American Society for Gastrointestinal Endoscopy (ASGE) Core Quality Indicators, alongside equipment and disinfection audits, and patient surveys.

    • Main Results:

    • Detailed audit of 217 ERCP and 904 colonoscopy procedures, including risk stratification using ASA classification.
    • Established technical success and complication rates for both procedures.
    • Identified significant endoscope downtime (9% average repair time) and frequent contamination issues with glutaraldehyde disinfection, which improved with a new method.

    Conclusions:

    • A Quality Assurance (QA) program is implementable in high-volume endoscopy settings.
    • Challenges to effective QA include insufficient funding/staffing, inadequate IT infrastructure, and a lack of clear guidelines for managing suboptimal performance.
    • The established QA program provides a foundation for improving care quality and value in endoscopy services.