It endeavours to strengthen patient safety efforts in local hospitals and enhance patient care with accurate and complete endoscopy diagnoses and reports.
Launched in 2011, it has the following objectives:
A clinician led Quality Improvement Programme in GI Endoscopy was developed under the remit of the Conjoint Board in Ireland of the Royal College of Physicians and Royal College of Surgeons in conjunction with the Quality Improvement Directorate of the HSE. The programmed is managed by RCPI.
This is the third annual report produced by the the GI Endoscopy QI Programme reporting on quality indicators in endoscopy.
"Endoscopy is a central element in the diagnosis of gastrointestinal (GI) disease. The provision of a high quality, timely and accurate service with an associated quality patient experience is a key goal for all. Patients have a right to expect that they have appropriate access to the service and that the service provided is of the highest possible standard."
Conjoint Board of RCPI and RCSI
Gastrointestinal Endoscopy is a diagnostic procedure that involves an examination of the inner lining of the gastrointestinal tract.
An upper gastrointestinal endoscopy examines the oesophagus, stomach, and the first part of the small intestine (duodenum). The viewing tool, called an endoscope, is passed through the mouth.
A colonoscopy examines the inner lining of the large intestine (rectum and colon). This is performed by passing a small flexible tube through the rectum.
Gastrointestinal Endoscopy, like many diagnostic procedures, involves decision making under conditions of uncertainty and a certain degree of error is inevitable.
Endoscopy and colonoscopy can be performed by specially trained nurse endoscopists, surgeons or physicians, which is why RCPI and RCSI are jointly leading this programme.
The Conjoint Board’s aim was to systematically produce robust evidence to ensure that endoscopic procedures in Ireland meet the highest international standards. It also wanted to address the lack of national standards or benchmarks for auditing Gastrointestinal Endoscopy services.
This programme was previously known as the National Quality Assurance Programme in Gastrointestinal Endoscopy.
Guidelines for the Gastrointestinal Endoscopy National Quality Improvement Programme, version 5
Participating endoscopy units have agreed to implement practical quality improvement measures, as outlined in the Guidelines for the Gastrointestinal Endoscopy National Quality Improvement Programme.
The units who have gone live are recording their performance on an online quality information system, which is currently being rolled out to endoscopy units across Ireland.
The Conjoint Board has defined Key Quality Data that will be used to assess the performance of an endoscopy unit. Key quality areas include average medication dosages, sedative reversal medications usage and polyp detection rates. This information will be recorded in the online quality information system.
When the Gastrointestinal Endoscopy National Quality Improvement Programme is fully implemented, endoscopy units will be able to run their own quality improvement reports. Using our online quality information system, they will be able to review their performance regularly and compare it to the aggregate national performance.
The guidelines were developed by a Working Group of endoscopist physicians, surgeons and a nurse, who were appointed by the Conjoint Board of RCPI and RCSI.
They outline quality improvement activities that should be carried out in endoscopy units based on international best evidence.
The guidelines have been circulated to all participating public and private endoscopy units.
"GI endoscopy is fundamental to the management of upper and lower gastrointestinal disease. It has diagnostic, therapeutic and preventative roles. All endoscopy procedures need to strike a balance between benefit and harm."
Conjoint Board of RCPI and RCSI
An essential component of the Gastrointestinal Endoscopy National Quality Improvement Programme is an online quality information system that was built to store, analyse and report on endoscopy units’ performance. It was developed by the Conjoint Board of RCPI and RCSI and HSE Health Intelligence Ireland.
Known as NQAIS (National Quality Assurance Intelligence System), it functions as a central repository for quality improvement data.
NQAIS is currently being rolled out to all participating endoscopy units and allows us to generate national reports on the key quality areas in diagnostic endoscopy in Ireland.
We will produce an overall national report showing the trends in the key quality areas. Endoscopy units will be able to monitor, review and improve the quality of their work in the context of national norms as well as share best practice with other participants.
|Bantry General Hospital||Beacon Hospital||Beaumont Hospital|
|Blackrock Clinic||Bon Secours Hospital Dublin||Bon Secours Hospital Galway|
|Bon Secours Hospital Tralee||Cavan General Hospital||Connolly Hospital Blanchardstown|
|Cork University Hospital||Galway Clinic||Letterkenny General Hospital|
|Louth County Hospital||Mallow General Hospital||Mater Misericordiae University Hospital|
|Mater Private Hospital - Dublin||Mercy University Hospital||Midland Regional Hospital Mullingar|
|Midland Regional Hospital at Tullamore||Mid-Western Regional Hospital Ennis||Mid-Western Regional Hospital, Nenagh|
|Monaghan General Hospital||Naas General Hospital||Our Lady of Lourdes Hospital, Drogheda|
|Roscommon County Hospital||Sligo University Hospital||South Infirmary Victoria University Hospital|
|South Tipperary General Hospital||St. James's Hospital||St. John's Hospital, Limerick|
|St. Luke's General Hospital||St. Michael's Hospital||St. Vincent's University Hospital|
|Tallaght Hospital||University Hospital Galway||University Hospital Kerry|
|University Hospital Limerick||University Hospital Waterford||Wexford General Hospital|
|Whitfield Clinic||Our Lady's Hospital Navan||Hermitage Medical Clinic|
|Mayo University Hospital||Portiuncula University Hospital||Midland Regional Hospital, Portlaoise|
|St. Columcille's Hospital, Loughlinstown|
It has received wide support and is governed by a Steering Committee with representation from:
Thank you to all who attended the 2018 GI Endoscopy Quality Improvement Workshop. With over 90 participants, this was our best attended Workshop to date. The presentations given on the day are available below:
We welcome any feedback or queries to Conor Canavan or Philip Ryan (firstname.lastname@example.org or email@example.com).
If you have any questions about the Specialty Quality Improvement Programmes, please contact:
Philip provides project support to National Quality Improvement Programmes in
Caitríona is the Department Manager for the Speciality Quality Improvement Programmes in: