Naslov
Pediatric endoscopy quality improvement network quality standards and indicators for pediatric endoscopic procedures: a joint NASPGHAN/ESPGHAN guideline

Autori
Lightdale, Jenifer R. ; Walsh, Catharine M. ; Oliva, Salvatore ; Jacobson, Kevan ; Huynh, Hien Q. ; Homan, Matjaž ; Hojsak, Iva ; Gillett, Peter M. ; Furlano, Raoul I. ; Fishman, Douglas S. ; Croft, Nicholas M. ; Brill, Herbert ; Bontems, Patrick ; Amil-Dias, Jorge ; Utterson, Elizabeth C. ; Tavares, Marta ; Rosh, Joel R. ; Riley, Matthew R. ; Narula, Priya ; Mamula, Petar ; Mack, David R. ; Liu, Quin Y. ; Lerner, Diana G. ; Leibowitz, Ian H. ; Otley, Anthony R. ; Kramer, Robert E. ; Ambartsumyan, Lusine ; Connan, Veronik ; McCreath, Graham A. ; Thomson, Mike A.

Izvornik
Journal of pediatric gastroenterology and nutrition (0277-2116) 74 (2021), S1; S30-S43

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
healthcare ; patient care/standards ; patient safety ; pediatric gastroenterology/∗standards ; performance measures ; quality assurance

Sažetak
Introduction: High-quality pediatric gastrointestinal procedures are performed when clinically indicated and defined by their successful performance by skilled providers in a safe, comfortable, child-oriented, and expeditious manner. The process of pediatric endoscopy begins when a plan to perform the procedure is first made and ends when all appropriate patient follow-up has occurred. Procedure-related standards and indicators developed to date for endoscopy in adults emphasize cancer screening and are thus unsuitable for pediatric medicine. Methods: With support from the North American and European Societies of Pediatric Gastroenterology Hepatology and Nutrition (NASPGHAN and ESPGHAN), an international working group of the Pediatric Endoscopy Quality Improvement Network (PEnQuIN) used the methodological strategy of the Appraisal of Guidelines for REsearch and Evaluation (AGREE) II instrument to develop standards and indicators relevant for assessing the quality of endoscopic procedures. Consensus was sought via an iterative online Delphi process and finalized at an in- person conference. The quality of evidence and strength of recommendations were rated according to the GRADE (Grading of Recommendation Assessment, Development, and Evaluation) approach. Results: The PEnQuIN working group achieved consensus on 14 standards for pediatric endoscopic procedures, as well as 30 indicators that can be used to identify high-quality procedures. These were subcategorized into three subdomains: Preprocedural (3 standards, 7 indicators), Intraprocedural (8 standards, 18 indicators), and Postprocedural (3 standards, 5 indicators). A minimum target for the key indicator, “rate of adequate bowel preparation, ” was set at ≥80%. Discussion: It is recommended that all facilities and individual providers performing pediatric endoscopy worldwide initiate and engage with the procedure-related standards and indicators developed by PEnQuIN to identify gaps in quality and drive improvement.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA