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Quality measures and credentialing in gastrointestinal endoscopy
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota 55902, USA. petersen.bret@mayo.edu
Current Opinion in Gastroenterology
|August 10, 2010
Summary
Quality measures for endoscopy are improving, focusing on adenoma detection rates for colonoscopies. Benchmarking individual performance is key to ensuring competence and enhancing patient care in endoscopic services.
Area of Science:
- Gastroenterology
- Medical Quality Improvement
- Endoscopic Procedures
Background:
- Quality assessment and improvement are integral to modern medicine.
- Credentialing and delivery of endoscopic services are key areas of focus.
- Recent publications highlight advancements in quality metrics and practices.
Purpose of the Study:
- To review recent publications on quality measures in credentialing and delivery of endoscopic services.
- To assess the current state of quality assessment in gastroenterology.
- To identify trends and emerging standards in endoscopic quality.
Main Methods:
- Literature review of recent publications.
- Analysis of proposed quality measures for endoscopic procedures.
- Examination of credentialing guidelines and performance benchmarking.
Main Results:
- Colonoscopy quality measures are maturing, emphasizing adenoma detection rates (ADRs).
- Surveillance colonoscopy use patterns deviate from guidelines, indicating areas for improvement.
- ADRs are inversely associated with subsequent colorectal cancer risk.
- Global credentialing guidelines are converging.
- Quality measures for endoscopic ultrasonography and ERCP are emerging.
Conclusions:
- Colonoscopy quality metrics are increasingly focused on ADRs over indirect measures.
- Personal and unit-based benchmarking, aided by automated systems, is gaining traction.
- Emphasis is shifting towards individual performance and workforce competence assurance.
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