TY - JOUR
T1 - Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopic Procedures
T2 - A Joint NASPGHAN/ESPGHAN Guideline
AU - Lightdale, Jenifer R.
AU - Walsh, Catharine M.
AU - Oliva, Salvatore
AU - Jacobson, Kevan
AU - Huynh, Hien Q.
AU - Homan, Matjaž
AU - Hojsak, Iva
AU - Gillett, Peter M.
AU - Furlano, Raoul I.
AU - Fishman, Douglas S.
AU - Croft, Nicholas M.
AU - Brill, Herbert
AU - Bontems, Patrick
AU - Amil-Dias, Jorge
AU - Utterson, Elizabeth C.
AU - Tavares, Marta
AU - Rosh, Joel R.
AU - Riley, Matthew R.
AU - Narula, Priya
AU - Mamula, Petar
AU - Mack, David R.
AU - Liu, Quin Y.
AU - Lerner, Diana G.
AU - Leibowitz, Ian H.
AU - Otley, Anthony R.
AU - Kramer, Robert E.
AU - Ambartsumyan, Lusine
AU - Connan, Veronik
AU - McCreath, Graham A.
AU - Thomson, Mike A.
N1 - Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - 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.
AB - 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.
KW - Healthcare
KW - Patient care/standards
KW - Patient safety
KW - Pediatric gastroenterology/∗standards
KW - Performance measures
KW - Quality assurance
UR - http://www.scopus.com/inward/record.url?scp=85125553411&partnerID=8YFLogxK
U2 - 10.1097/MPG.0000000000003264
DO - 10.1097/MPG.0000000000003264
M3 - Article
C2 - 34402486
AN - SCOPUS:85125553411
SN - 0277-2116
VL - 74
SP - S30-S43
JO - Journal of pediatric gastroenterology and nutrition
JF - Journal of pediatric gastroenterology and nutrition
ER -