Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training
ABSTRACT Introduction: High‐quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment of indi...
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| Veröffentlicht in: | Journal of pediatric gastroenterology and nutrition 2022-03, Vol.74, p.S44-S52 |
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| creator | Walsh, Catharine M. Lightdale, Jenifer R. Leibowitz, Ian H. Lerner, Diana G. Liu, Quin Y. Mack, David R. Mamula, Petar Narula, Priya Oliva, Salvatore Riley, Matthew R. Rosh, Joel R. Tavares, Marta Utterson, Elizabeth C. Amil‐Dias, Jorge Bontems, Patrick Brill, Herbert Croft, Nicholas M. Fishman, Douglas S. Furlano, Raoul I. Gillett, Peter M. Hojsak, Iva Homan, Matjaž Huynh, Hien Q. Jacobson, Kevan Ambartsumyan, Lusine Otley, Anthony R. Kramer, Robert E. McCreath, Graham A. Connan, Veronik Thomson, Mike A. |
| description | ABSTRACT
Introduction:
High‐quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment of individual pediatric endoscopists is a method for confirming the highest possible quality of care for such procedures worldwide. We aim to provide guidance to define and measure quality of endoscopic care for children.
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 endoscopists. 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 6 standards that all providers who perform pediatric endoscopy should uphold and 2 standards for pediatric endoscopists in training, with 7 corresponding indicators that can be used to identify high‐quality endoscopists. Additionally, these can inform continuous quality improvement at the provider level. Minimum targets for defining high‐quality pediatric ileocolonoscopy were set for 2 key indicators: cecal intubation rate (≥90%) and terminal ileal intubation rate (≥85%).
Discussion:
It is recommended that all individual providers performing or training to perform pediatric endoscopy initiate and engage with these international endoscopist‐related standards and indicators developed by PEnQuIN. |
| doi_str_mv | 10.1097/MPG.0000000000003265 |
| format | Article |
| fullrecord | <record><control><sourceid>wiley</sourceid><recordid>TN_cdi_wiley_primary_10_1097_MPG_0000000000003265_JPN3BF02615</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>JPN3BF02615</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1515-3f1856a1c960169ae7b35f4ce32b96e5f2398f7f2765680f911e30f2c411287d3</originalsourceid><addsrcrecordid>eNplkM1OAyEcxInRxFp9Aw-8wFb-sMDuwYM2tdbUWmM9bygLBm3ZBtBm38DHdk2N8WMuk8xM5vBD6BTIAEgpz27n4wH5IUYF30M94ExkeUFgH_UIlTKjAOIQHcX43I1kzkkPvc9N7VQKTuORr5uom02L71_VyqUWT9ab0LyZtfEJz0zaNuHlu3tIytcq1BF3jie-dlqlJkRsm4D_n7qYdstfgfN4EZTzzj8dowOrVtGcfHkfPV6NFsPrbHo3ngwvppkGDjxjFgouFOhSEBClMnLJuM21YXRZCsMtZWVhpaVScFEQWwIYRizVOQAtZM366Hz3u3Ur01ab4NYqtBWQ6hNl1aGs_qKsbuYzdnlFqOiIfgDu3Wwb</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Walsh, Catharine M. ; Lightdale, Jenifer R. ; Leibowitz, Ian H. ; Lerner, Diana G. ; Liu, Quin Y. ; Mack, David R. ; Mamula, Petar ; Narula, Priya ; Oliva, Salvatore ; Riley, Matthew R. ; Rosh, Joel R. ; Tavares, Marta ; Utterson, Elizabeth C. ; Amil‐Dias, Jorge ; Bontems, Patrick ; Brill, Herbert ; Croft, Nicholas M. ; Fishman, Douglas S. ; Furlano, Raoul I. ; Gillett, Peter M. ; Hojsak, Iva ; Homan, Matjaž ; Huynh, Hien Q. ; Jacobson, Kevan ; Ambartsumyan, Lusine ; Otley, Anthony R. ; Kramer, Robert E. ; McCreath, Graham A. ; Connan, Veronik ; Thomson, Mike A.</creator><creatorcontrib>Walsh, Catharine M. ; Lightdale, Jenifer R. ; Leibowitz, Ian H. ; Lerner, Diana G. ; Liu, Quin Y. ; Mack, David R. ; Mamula, Petar ; Narula, Priya ; Oliva, Salvatore ; Riley, Matthew R. ; Rosh, Joel R. ; Tavares, Marta ; Utterson, Elizabeth C. ; Amil‐Dias, Jorge ; Bontems, Patrick ; Brill, Herbert ; Croft, Nicholas M. ; Fishman, Douglas S. ; Furlano, Raoul I. ; Gillett, Peter M. ; Hojsak, Iva ; Homan, Matjaž ; Huynh, Hien Q. ; Jacobson, Kevan ; Ambartsumyan, Lusine ; Otley, Anthony R. ; Kramer, Robert E. ; McCreath, Graham A. ; Connan, Veronik ; Thomson, Mike A.</creatorcontrib><description>ABSTRACT
Introduction:
High‐quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment of individual pediatric endoscopists is a method for confirming the highest possible quality of care for such procedures worldwide. We aim to provide guidance to define and measure quality of endoscopic care for children.
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 endoscopists. 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 6 standards that all providers who perform pediatric endoscopy should uphold and 2 standards for pediatric endoscopists in training, with 7 corresponding indicators that can be used to identify high‐quality endoscopists. Additionally, these can inform continuous quality improvement at the provider level. Minimum targets for defining high‐quality pediatric ileocolonoscopy were set for 2 key indicators: cecal intubation rate (≥90%) and terminal ileal intubation rate (≥85%).
Discussion:
It is recommended that all individual providers performing or training to perform pediatric endoscopy initiate and engage with these international endoscopist‐related standards and indicators developed by PEnQuIN.</description><identifier>ISSN: 0277-2116</identifier><identifier>EISSN: 1536-4801</identifier><identifier>DOI: 10.1097/MPG.0000000000003265</identifier><language>eng</language><subject>clinical competence/standards ; endoscopy ; gastrointestinal/standards ; key performance indicators ; pediatric gastroenterology/standards ; performance measures</subject><ispartof>Journal of pediatric gastroenterology and nutrition, 2022-03, Vol.74, p.S44-S52</ispartof><rights>2022 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1515-3f1856a1c960169ae7b35f4ce32b96e5f2398f7f2765680f911e30f2c411287d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2FMPG.0000000000003265$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2FMPG.0000000000003265$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Walsh, Catharine M.</creatorcontrib><creatorcontrib>Lightdale, Jenifer R.</creatorcontrib><creatorcontrib>Leibowitz, Ian H.</creatorcontrib><creatorcontrib>Lerner, Diana G.</creatorcontrib><creatorcontrib>Liu, Quin Y.</creatorcontrib><creatorcontrib>Mack, David R.</creatorcontrib><creatorcontrib>Mamula, Petar</creatorcontrib><creatorcontrib>Narula, Priya</creatorcontrib><creatorcontrib>Oliva, Salvatore</creatorcontrib><creatorcontrib>Riley, Matthew R.</creatorcontrib><creatorcontrib>Rosh, Joel R.</creatorcontrib><creatorcontrib>Tavares, Marta</creatorcontrib><creatorcontrib>Utterson, Elizabeth C.</creatorcontrib><creatorcontrib>Amil‐Dias, Jorge</creatorcontrib><creatorcontrib>Bontems, Patrick</creatorcontrib><creatorcontrib>Brill, Herbert</creatorcontrib><creatorcontrib>Croft, Nicholas M.</creatorcontrib><creatorcontrib>Fishman, Douglas S.</creatorcontrib><creatorcontrib>Furlano, Raoul I.</creatorcontrib><creatorcontrib>Gillett, Peter M.</creatorcontrib><creatorcontrib>Hojsak, Iva</creatorcontrib><creatorcontrib>Homan, Matjaž</creatorcontrib><creatorcontrib>Huynh, Hien Q.</creatorcontrib><creatorcontrib>Jacobson, Kevan</creatorcontrib><creatorcontrib>Ambartsumyan, Lusine</creatorcontrib><creatorcontrib>Otley, Anthony R.</creatorcontrib><creatorcontrib>Kramer, Robert E.</creatorcontrib><creatorcontrib>McCreath, Graham A.</creatorcontrib><creatorcontrib>Connan, Veronik</creatorcontrib><creatorcontrib>Thomson, Mike A.</creatorcontrib><title>Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training</title><title>Journal of pediatric gastroenterology and nutrition</title><description>ABSTRACT
Introduction:
High‐quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment of individual pediatric endoscopists is a method for confirming the highest possible quality of care for such procedures worldwide. We aim to provide guidance to define and measure quality of endoscopic care for children.
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 endoscopists. 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 6 standards that all providers who perform pediatric endoscopy should uphold and 2 standards for pediatric endoscopists in training, with 7 corresponding indicators that can be used to identify high‐quality endoscopists. Additionally, these can inform continuous quality improvement at the provider level. Minimum targets for defining high‐quality pediatric ileocolonoscopy were set for 2 key indicators: cecal intubation rate (≥90%) and terminal ileal intubation rate (≥85%).
Discussion:
It is recommended that all individual providers performing or training to perform pediatric endoscopy initiate and engage with these international endoscopist‐related standards and indicators developed by PEnQuIN.</description><subject>clinical competence/standards</subject><subject>endoscopy</subject><subject>gastrointestinal/standards</subject><subject>key performance indicators</subject><subject>pediatric gastroenterology/standards</subject><subject>performance measures</subject><issn>0277-2116</issn><issn>1536-4801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNplkM1OAyEcxInRxFp9Aw-8wFb-sMDuwYM2tdbUWmM9bygLBm3ZBtBm38DHdk2N8WMuk8xM5vBD6BTIAEgpz27n4wH5IUYF30M94ExkeUFgH_UIlTKjAOIQHcX43I1kzkkPvc9N7VQKTuORr5uom02L71_VyqUWT9ab0LyZtfEJz0zaNuHlu3tIytcq1BF3jie-dlqlJkRsm4D_n7qYdstfgfN4EZTzzj8dowOrVtGcfHkfPV6NFsPrbHo3ngwvppkGDjxjFgouFOhSEBClMnLJuM21YXRZCsMtZWVhpaVScFEQWwIYRizVOQAtZM366Hz3u3Ur01ab4NYqtBWQ6hNl1aGs_qKsbuYzdnlFqOiIfgDu3Wwb</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Walsh, Catharine M.</creator><creator>Lightdale, Jenifer R.</creator><creator>Leibowitz, Ian H.</creator><creator>Lerner, Diana G.</creator><creator>Liu, Quin Y.</creator><creator>Mack, David R.</creator><creator>Mamula, Petar</creator><creator>Narula, Priya</creator><creator>Oliva, Salvatore</creator><creator>Riley, Matthew R.</creator><creator>Rosh, Joel R.</creator><creator>Tavares, Marta</creator><creator>Utterson, Elizabeth C.</creator><creator>Amil‐Dias, Jorge</creator><creator>Bontems, Patrick</creator><creator>Brill, Herbert</creator><creator>Croft, Nicholas M.</creator><creator>Fishman, Douglas S.</creator><creator>Furlano, Raoul I.</creator><creator>Gillett, Peter M.</creator><creator>Hojsak, Iva</creator><creator>Homan, Matjaž</creator><creator>Huynh, Hien Q.</creator><creator>Jacobson, Kevan</creator><creator>Ambartsumyan, Lusine</creator><creator>Otley, Anthony R.</creator><creator>Kramer, Robert E.</creator><creator>McCreath, Graham A.</creator><creator>Connan, Veronik</creator><creator>Thomson, Mike A.</creator><scope/></search><sort><creationdate>202203</creationdate><title>Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training</title><author>Walsh, Catharine M. ; Lightdale, Jenifer R. ; Leibowitz, Ian H. ; Lerner, Diana G. ; Liu, Quin Y. ; Mack, David R. ; Mamula, Petar ; Narula, Priya ; Oliva, Salvatore ; Riley, Matthew R. ; Rosh, Joel R. ; Tavares, Marta ; Utterson, Elizabeth C. ; Amil‐Dias, Jorge ; Bontems, Patrick ; Brill, Herbert ; Croft, Nicholas M. ; Fishman, Douglas S. ; Furlano, Raoul I. ; Gillett, Peter M. ; Hojsak, Iva ; Homan, Matjaž ; Huynh, Hien Q. ; Jacobson, Kevan ; Ambartsumyan, Lusine ; Otley, Anthony R. ; Kramer, Robert E. ; McCreath, Graham A. ; Connan, Veronik ; Thomson, Mike A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1515-3f1856a1c960169ae7b35f4ce32b96e5f2398f7f2765680f911e30f2c411287d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>clinical competence/standards</topic><topic>endoscopy</topic><topic>gastrointestinal/standards</topic><topic>key performance indicators</topic><topic>pediatric gastroenterology/standards</topic><topic>performance measures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walsh, Catharine M.</creatorcontrib><creatorcontrib>Lightdale, Jenifer R.</creatorcontrib><creatorcontrib>Leibowitz, Ian H.</creatorcontrib><creatorcontrib>Lerner, Diana G.</creatorcontrib><creatorcontrib>Liu, Quin Y.</creatorcontrib><creatorcontrib>Mack, David R.</creatorcontrib><creatorcontrib>Mamula, Petar</creatorcontrib><creatorcontrib>Narula, Priya</creatorcontrib><creatorcontrib>Oliva, Salvatore</creatorcontrib><creatorcontrib>Riley, Matthew R.</creatorcontrib><creatorcontrib>Rosh, Joel R.</creatorcontrib><creatorcontrib>Tavares, Marta</creatorcontrib><creatorcontrib>Utterson, Elizabeth C.</creatorcontrib><creatorcontrib>Amil‐Dias, Jorge</creatorcontrib><creatorcontrib>Bontems, Patrick</creatorcontrib><creatorcontrib>Brill, Herbert</creatorcontrib><creatorcontrib>Croft, Nicholas M.</creatorcontrib><creatorcontrib>Fishman, Douglas S.</creatorcontrib><creatorcontrib>Furlano, Raoul I.</creatorcontrib><creatorcontrib>Gillett, Peter M.</creatorcontrib><creatorcontrib>Hojsak, Iva</creatorcontrib><creatorcontrib>Homan, Matjaž</creatorcontrib><creatorcontrib>Huynh, Hien Q.</creatorcontrib><creatorcontrib>Jacobson, Kevan</creatorcontrib><creatorcontrib>Ambartsumyan, Lusine</creatorcontrib><creatorcontrib>Otley, Anthony R.</creatorcontrib><creatorcontrib>Kramer, Robert E.</creatorcontrib><creatorcontrib>McCreath, Graham A.</creatorcontrib><creatorcontrib>Connan, Veronik</creatorcontrib><creatorcontrib>Thomson, Mike A.</creatorcontrib><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walsh, Catharine M.</au><au>Lightdale, Jenifer R.</au><au>Leibowitz, Ian H.</au><au>Lerner, Diana G.</au><au>Liu, Quin Y.</au><au>Mack, David R.</au><au>Mamula, Petar</au><au>Narula, Priya</au><au>Oliva, Salvatore</au><au>Riley, Matthew R.</au><au>Rosh, Joel R.</au><au>Tavares, Marta</au><au>Utterson, Elizabeth C.</au><au>Amil‐Dias, Jorge</au><au>Bontems, Patrick</au><au>Brill, Herbert</au><au>Croft, Nicholas M.</au><au>Fishman, Douglas S.</au><au>Furlano, Raoul I.</au><au>Gillett, Peter M.</au><au>Hojsak, Iva</au><au>Homan, Matjaž</au><au>Huynh, Hien Q.</au><au>Jacobson, Kevan</au><au>Ambartsumyan, Lusine</au><au>Otley, Anthony R.</au><au>Kramer, Robert E.</au><au>McCreath, Graham A.</au><au>Connan, Veronik</au><au>Thomson, Mike A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training</atitle><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle><date>2022-03</date><risdate>2022</risdate><volume>74</volume><spage>S44</spage><epage>S52</epage><pages>S44-S52</pages><issn>0277-2116</issn><eissn>1536-4801</eissn><abstract>ABSTRACT
Introduction:
High‐quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment of individual pediatric endoscopists is a method for confirming the highest possible quality of care for such procedures worldwide. We aim to provide guidance to define and measure quality of endoscopic care for children.
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 endoscopists. 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 6 standards that all providers who perform pediatric endoscopy should uphold and 2 standards for pediatric endoscopists in training, with 7 corresponding indicators that can be used to identify high‐quality endoscopists. Additionally, these can inform continuous quality improvement at the provider level. Minimum targets for defining high‐quality pediatric ileocolonoscopy were set for 2 key indicators: cecal intubation rate (≥90%) and terminal ileal intubation rate (≥85%).
Discussion:
It is recommended that all individual providers performing or training to perform pediatric endoscopy initiate and engage with these international endoscopist‐related standards and indicators developed by PEnQuIN.</abstract><doi>10.1097/MPG.0000000000003265</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | clinical competence/standards endoscopy gastrointestinal/standards key performance indicators pediatric gastroenterology/standards performance measures |
| title | Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopists and Endoscopists in Training |
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