Review ArticleExcellence in endoscopy: toward practical metrics
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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