Elsevier

Gastrointestinal Endoscopy

Volume 63, Issue 2, February 2006, Pages 286-291
Gastrointestinal Endoscopy

Review Article
Excellence in endoscopy: toward practical metrics

https://doi.org/10.1016/j.gie.2005.04.048Get rights and content

Section snippets

Methods

Twenty leading North American gastroenterologists and selected guests were invited to consider 3 related topics.

  • 1.

    What are the metrics of excellence in endoscopy?

  • 2.

    How can the data be collected, analyzed, and used?

  • 3.

    How can excellence be trained and enhanced?

There were 3 team leaders, Robert Hawes, Alan Barkun, and Gregory Ginsberg. Each selected a team of 6 to 8 participants about 6 months before the meeting to focus on specific aspects of their allocated topic. They were tasked to review the

Discussion

No one involved in endoscopy doubts the importance of ensuring the highest possible quality of our processes and procedures. Many patients assume that any doctor who offers a procedure is competent to do it and that all facilities are equally safe (although some may look less appealing). The very simplicity of endoscopy as a “walk-in, walk-out” procedure can lull patients and practitioners alike into a sense of false security. Bad things can and do happen. Gastroenterologists often assume and

Conclusions

We recommend that all endoscopists who are comfortable with their performance should begin to collect data for individual report cards, by using simple data points as shown in Appendix 1. The effort need not be overambitious or burdensome. Let us get something started.

The fact that some endoscopists will be reluctant to document and advertise their poor performance should not stop us from doing the right things, right? We should wear our data plainly and proudly as badges of quality.

Disclosure

The workshop was supported by an educational grant from Olympus America Inc.

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