An American Society for Gastrointestinal Endoscopy–American College of Gastroenterology task force recently developed quality indicators for the preprocedure, intraprocedure, and postprocedure phases of each endoscopic procedure.
Benchmark rates and clinical significance of compliance have not been determined.
Dr Susan Coe and colleagues from Florida, USA evaluated baseline compliance rates to the preprocedure and intraprocedure quality indicators in EUS cases.
Identify indicators with the lowest compliance rates, and establish change in compliance rates with a targeted performance improvement plan.
The team measured baseline compliance to each of the preprocedure and intraprocedure EUS quality indicators in the EUS procedures performed at Mayo Clinic Jacksonville from 1996 through 2006.
|There was an improvement in all 4 areas targeted by quality indicators|
The team developed a performance improvement plan that targeted the 4 indicators with the lowest compliance over the entire time period.
Compliance rates in the year after plan implementation were compared with those from 2004 to 2006, when adjusting for endoscopist and direct access.
The researchers demonstrated areas of high quality as well as areas for improvement in compliance with the American Society for Gastrointestinal Endoscopy–American College of Gastroenterology quality metrics in a large cohort of EUS cases.
The team noted improvement in all 4 areas targeted for quality improvement, statistically significant at the 5% level for 2 of the quality indicators.
Limitations included our retrospective design and the use of unstructured procedure dictations that may limit application of our results.
It is also unclear whether compliance was truly synonymous with performance.
Dr Coe’s team concluded, “We established reference levels of compliance rate within our practice and showed that a targeted performance improvement plan that consisted of awareness, individual accountability, and documentation can result in improvement."