10 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events 3b. Post procedure follow up One important point is that the re-sults of the endoscopic procedure and follow-up recommendations, must be communicated to the referring provider or primary care physician. This communication should be docu-mented. It is the responsibility of the endoscopist to provide results, recom-mendations regarding therapy, further diagnostic testing and follow-up; the lack of communication may result in patient mis-management. The infor-mation related to histological reports, should be properly defined. 4. Conclusion In conclusion, having a guideline does not result in improved health outcomes per se; in order to improve quality it is essential to implement guidance and measure performance. Performing regular quality audits allows identification of potential under-performance, which provides an opportunity for discussion and support for the endoscopist. These will all, result in better outcomes for our patients. A quality control program should be implemented in gastrointestinal endoscopy units. References 1. Faigel DO, Pike IM, Baron TH, et al. Quality indicators for gastroin-testinal endoscopic procedures: an introduction. Am J Gastroenterol 2006;101: 866-72. 2. Mahajan RJ, Marshall JB. Preva-lence of open-access gastrointes-tinal endoscopy in the United States. Gastrointest Endosc 1997; 46:21-6. 3. Mahajan RJ, Barthel JS, Marshall JB. Appropriateness of referals for open-access endoscopy. How do physicians in different medical specialties do? Arch Intern Med 1996; 156:2065-9. 4. Keren D, Rainis T, Stermer E, et al. A nine-year audit of open-access upper gastrointestinal endoscopic procedures: results and experience of a single centre. Can J Gastroenterol 2011; 25:83-8. 5. Williams EJ, Hamlyn A, Logan RF, et al: Consenting patients for endoscopic retrograde cholangio-pancreatography: results of a survey of 182 UK endoscopists and 2059 of their patients. Eur J Gastroenterol Hepatol 21:1351- 1357, 2009. 6. Masci E, Rossi M, Minoli G, et al: Patient satisfaction after endoscopic retrograde cholangio-pancreatography for biliary stones: a prospective multicenter study in Lombardy. J Gastroenterol Hepatol 24:1510-1515, 2009. 7. Standards of Practice Committee; Zuckerman MJ, Shen B, Harrison ME 3 rd, et al. Informed consent for GI endoscopy. Gastrointest Endosc 2007;66:213-8. 8. Cotton PB. Analysis of 59 ERCP lawsuits mainly about indications. Gastrointest Endosc 2006; 63:378; 82, quiz 464. 9. Waring JP, Baron TH, Hirota WK, et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Gastro-intest Endosc 2003; 58:317-22. 10. American Society of Anesthesi-ologists Task Force on Sedation and Analgesia by Non-Anesthe-siologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology 2002; 96:1004-17. 11. American Society of Anesthesiolo-gists Committee. Practice guide-lines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective pro-cedures: an updated report by the American Society of Anesthesiolo-gists Committee on Standards and Practice Parameters. Anesthesiology 2011;114:495-511.14). 12. Charles RJ, Chak A, Cooper GS, et al. Use of open access in GI endoscopy at an academic medical center. Gastrointest Endosc 1999; 50: 480-5. 13. American Society of Anesthesiolo-gists. Continuum of depth of seda-tion: definition of general anesthe-sia and levels of sedation/analgesia. Available at: http://www.asahq. org/For-Members/Standards- Guidelinesand-Statements.aspx. Accessed August 26, 2014. 14. Wexner SD, Litwin D, Cohen J, et al. Principles of privileging and credentialing for endoscopy and colonoscopy. Gastrointest Endosc 2002; 55:145-8. 15. Standards of practice commit-tee; Dominitz JA, Ikenberry SO, Anderson MA, et al. Renewal of and proctoring for endoscopic privileges. Gastrointest Endosc 2008; 67:10-6. 16. Lieberman D, Nadel M, Smith RA, et al. Standardized colonosco-py reporting and data system: re-port of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointest Endosc 2007; 65:757-66. 17. ASGE Standards of Practice Com-mittee; Anderson MA, Fisher L, Jain R, et al. Complications of ERCP. Gastrointest Endosc 2012; 75: 467-73. 18. Quality indicators for GI Endo-scopic Procedures. Am J Gas-troenterol 2015; 110: 60-113; p 60 Quality Indicators for EGD, p 72 Quality Indicators for Colonos-copy, p 91 Quality Indicators for ERCP, 102 Quality Indicators for EUS. 19. ASGE, D. Bjorkman GIE Supple-ment Vol 64 N°6 2006 Quality indicators for gastrointestinal endoscopic procedures: an intro-duction Douglas O. Faigel, MD, ASGE Co-Chair, Irving M. Pike, MD, ACG Co-Chair, Todd H.
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