Competencies in Endoscopy

Quality Indicators for GI Endoscopic Procedures

The ASGE/ACG Task Force on Quality in Endoscopy has updated quality indicators common to all gastrointestinal endoscopic procedures and for the four major endoscopic procedures: colonoscopy, esophagogastroduodenoscopy (EGD, also known as upper endoscopy), endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). These documents are published jointly in GIE: Gastrointestinal Endoscopy and The American Journal of Gastroenterology and will appear in print in January 2015.

The five titles published by the Task Force, under the banner “Quality Indicators for Gastrointestinal Endoscopic Procedures,” include:

"Quality Indicators Common to All GI Endoscopic Procedures"

"Quality Indicators for EGD"

"Quality Indicators for Colonoscopy"

"Quality Indicators for ERCP"

"Quality Indicators for EUS"

Editorial by Co-Chairs Dr. Jonathan Cohen and Dr. Irving Pike

The ACG/ASGE Task Force on Quality in Endoscopy, led by co-chairs Jonathan Cohen, MD, FASGE and Irving M. Pike, MD, FACG, FASGE, updated these quality indicators which were originally published in 2006 and which serve as a reference for physicians trained in endoscopy who can use them to assess, measure and improve their performance.

The quality indicators help to ensure that patients receive an indicated procedure; that correct and clinically relevant diagnoses are made (or excluded); that therapy is properly performed and that all these are accomplished with minimum risk to the patient. For each endoscopic procedure, quality indicators were considered for three time periods: preprocedure, intraprocedure and postprocedure.

2006 Quality Indicators for Endoscopy

List of Endorsed Quality Measures Relating to Endoscopy
Measuring the Quality of Endoscopy
2006 Quality Indicators for Gastrointestinal Endoscopic Procedures: An Introduction
2006 Quality Indicators for Colonoscopy
2006 Quality Indicators for Esophagogastroduodenoscopy
2006 Quality Indicators for Endoscopic Retrograde Cholangiopancreatography
2006 Quality Indicators for Endoscopic Ultrasonography

Additional ACG/ASGE Papers on Endoscopy

Are hospitals and health insurance plans exposed to potential litigation if they don’t establish guidelines for determining competency in providing endoscopic procedures? ACG in cooperation with ASGE, has published “Ensuring Competence in Endoscopy” which helps to answer this question. Along with the joint publication, a legal memorandum from a nationally-renowned litigation law firm, Williams & Connolly, is included. ACG members will receive a copy in the mail and ACG is also mailing a copy to all hospitals and health plans across the country. PDF’s of each may also be found by clicking on one of the links below.

Ensuring Competence in Endoscopy (for the GI physician)
Ensuring Competence in Endoscopy Executive Briefing (for the hospital or health plan administrator)

Additional Joint Society Statements

ACG/ASGE/AGA Statement on Capnography