Pediatric advanced complex endoscopy team enhances endoscopy quality and provider satisfaction.

Area of Science:

• Pediatric Gastroenterology
• Endoscopic Procedures
• Healthcare Quality Improvement

Background:

• Therapeutic endoscopic procedures are increasingly vital for pediatric care.
• Pediatric gastroenterologists often have limited training in complex endoscopic hemostasis.
• An advanced complex endoscopy (ACE) team was implemented to provide 24/7 support.

Purpose of the Study:

• To evaluate the impact of an ACE team on pediatric endoscopy quality and provider experience.
• To assess changes in hemostasis quality metrics post-ACE implementation.
• To gauge provider satisfaction and perspectives regarding the ACE team.

Main Methods:

• Comparative analysis of hemostasis quality outcomes before (2018-2020) and after (2020-2021) ACE team implementation.
• Provider satisfaction and perspectives were assessed via surveys pre- and post-implementation.
• Analysis included endoscopy volume, latency, reintervention rates, and hemostatic therapy diversity.

Main Results:

• Significant improvements in hemostasis quality metrics, including reduced latency and reintervention rates (p<0.05).
• Increased endoscopy volume and broader application of multimodal hemostatic therapy.
• High provider satisfaction (85% very satisfied) and perceived positive impact on inpatient and outpatient care.
• Reduced provider anxiety regarding endoscopic procedures post-ACE implementation (62% vs. 28%).

Conclusions:

• ACE team implementation led to enhanced hemostasis quality parameters and increased procedure volume.
• The ACE team positively impacted provider perspectives and reduced endoscopy-related anxiety.
• ACE implementation broadened the range of hemostasis interventions and is beneficial to pediatric patient care.