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United European Gastroenterol J. 2016 Feb;4(1):30-41. doi: 10.1177/2050640615624631. Epub 2015 Dec 17.

The European Society of Gastrointestinal Endoscopy Quality Improvement Initiative: developing performance measures.

United European gastroenterology journal

Matthew D Rutter, Carlo Senore, Raf Bisschops, Dirk Domagk, Roland Valori, Michal F Kaminski, Cristiano Spada, Michael Bretthauer, Cathy Bennett, Cristina Bellisario, Silvia Minozzi, Cesare Hassan, Colin Rees, Mário Dinis-Ribeiro, Tomas Hucl, Thierry Ponchon, Lars Aabakken, Paul Fockens


  1. Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK; School of Medicine, Durham University, UK.
  2. CPO Piemonte, AOU Città della Salute e della Scienza, Torino, Italy.
  3. Gastroenterology Department, University Hospital Leuven, Leuven, Belgium.
  4. Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Münster, Warendorf, Germany.
  5. Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, UK.
  6. Department of Gastroenterological Oncology, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, and Medical Center for Postgraduate Education, Warsaw, Poland; Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
  7. Digestive Endoscopy Unit, Catholic University, Rome, Italy.
  8. Department of Health Management and Health Economics, University of Oslo, Oslo, Norway; Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway; K.G. Jebsen Colorectal Cancer Research Centre, University of Oslo, Oslo, Norway.
  9. Centre for Technology Enabled Research, Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
  10. Nuovo Regina Margherita Hospital, Rome, Italy.
  11. Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK.
  12. Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal.
  13. Department of Gastroenterology and Hepatology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
  14. Department. of Digestive Diseases, Hôpital Edouard Herriot, Lyon, France.
  15. Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
  16. Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

PMID: 26966520 PMCID: PMC4766555 DOI: 10.1177/2050640615624631


The European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) have a vision to create a thriving community of endoscopy services across Europe, collaborating with each other to provide high quality, safe, accurate, patient-centered and accessible endoscopic care. Whilst the boundaries of what can be achieved by advanced endoscopy are continually expanding, we believe that one of the most fundamental steps to achieving our goal is to raise the quality of everyday endoscopy. The development of robust, consensus- and evidence-based key performance measures is the first step in this vision. ESGE and UEG have identified quality of endoscopy as a major priority. This paper explains the rationale behind the ESGE Quality Improvement Initiative and describes the processes that were followed. We recommend that all units develop mechanisms for audit and feedback of endoscopist and service performance using the ESGE performance measures that will be published in future issues of this journal over the next year. We urge all endoscopists and endoscopy services to prioritize quality and to ensure that these performance measures are implemented and monitored at a local level, so that we can provide the highest possible care for our patients.

Keywords: Endoscopy; key performance indicators; performance measures; quality; quality assurance


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