Endoscopy 2020; 52(S 01): S223
DOI: 10.1055/s-0040-1704697
ESGE Days 2020 ePoster Podium presentations
Thursday, April 23, 2020 15:00 – 15:30 Quality and safety of GI- endoscopy ePoster Podium 4
© Georg Thieme Verlag KG Stuttgart · New York

A NATIONAL SURVEY OF SAFETY ACROSS UK ENDOSCOPY SERVICES

S Ravindran
1   St Mark’s Hospital, Wolfson Unit for Endoscopy, London, United Kingdom
2   Imperial College London, Department of Surgey and Cancer, London, United Kingdom
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
P Bassett
4   Stats Consultancy, Amersham, United Kingdom
,
T Shaw
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
M Dron
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
R Broughton
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
H Griffiths
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
D Keen
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
E Wood
5   Homerton University Hospital, London, United Kingdom
,
C Healey
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
J Green
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
,
H Ashrafian
2   Imperial College London, Department of Surgey and Cancer, London, United Kingdom
6   Imperial College London, Patient Safety Translational Research Centre, London, United Kingdom
,
A Darzi
2   Imperial College London, Department of Surgey and Cancer, London, United Kingdom
6   Imperial College London, Patient Safety Translational Research Centre, London, United Kingdom
,
S Thomas-Gibson
1   St Mark’s Hospital, Wolfson Unit for Endoscopy, London, United Kingdom
2   Imperial College London, Department of Surgey and Cancer, London, United Kingdom
3   Royal College of Physicians, Joint Advisory Group on GI Endoscopy, London, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims To understand factors related to safety across UK endoscopy in line with the Joint Advisory Group on GI Endoscopy (JAG) ‘Improving Safety and Reducing Error in Endoscopy’ (ISREE) strategy.

Methods An expert panel devised questions across 7 themes, complementing JAG safety domains. These were incorporated into the biennial census of UK JAG-registered services in April 2019.

Results The response rate was 68.4%. Across March 2019, a total of 1535 patient safety incidents were reported (mean 4.80, SD 11.869). There was a significant difference in reporting dependent on incident type (χ2(7) = 308.1, p < 0.001). Technical and training incidents were least likely to be reported. There was no effect of region, service type or JAG accreditation status on reporting.

Anaesthetic-supported (AS) lists were unavailable to 27% of services. This varied amongst service type (χ2(4) = 67.86, p < .0005) but not region (p = 0.13). There was a significant difference between the current and desired number of AS lists (p < 0.001).

The majority of acute services have a gastrointestinal bleed (GIB) service (82.2%) but provision is significantly different between regions (p < 0.001). Accreditation (χ2(1) = 12.04, p < 0.01) and AS lists (χ2(1) = 18.90, p < 0.01) were strongly associated with having a GIB service.

Overall, 66.1% of services reported having an effective strategy for supporting underperformance. More endoscopists require support for technical skills than non-technical skills

(Z = −5.35, p = 0.001). Simulation provision was 49.1% across acute services, with significant regional differences (p = 0.001).

Learning is shared following discussion of adverse events in 94.1% services. Patient feedback is used to support learning, training and quality improvement.

Conclusions This is the first survey of national endoscopy safety practice and highlights regional and service-specific variability. These results are important in guiding the ISREE strategy in supporting safer UK endoscopy.