Pediatric Endoscopic Quality Metrics

A recent study (J Sheu et al. JPGN 2017; 64: 671-8 Full Text link (courtesy of JPGNonline twitter feed): Outcomes from Pediatric GI MOC Modules) examined outcomes associated with NASPGHAN sponsored web-based quality improvement activities. This study showed that these modules, designed for Maintenance of Certification (MOC) for American Board of Pediatrics, improved quality care outcomes. What I found most interesting were some of the quality metrics that were targeted.  Here are some of them:

  • Performance of time out
  • Documentation of duodenal biopsies (eg. location/number)
  • Documentation of prep quality
  • Communication of endoscopy report to primary care providers
  • Documentation of biopsy results to family within 1 week
  • % of procedures that resulted in change in management
  • % successful terminal ileum intubation

My take: While this study showed the potential utility of these MOC modules, the larger point is that if you set specific measurable goals, you have a good chance of improving performance.  This article is a good place to start when thinking about improving pediatric endoscopy quality.

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I really don’t get modern art. This art (a collection of newspapers)  is from Centre Pompidou. Robert Gober “Newspaper” 1992

 

 

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