QUALITY SYSTEM BASED IN ISO 9001:2015 AND THE IMPACT IN THE IMPROVEMENT OF THE INDICATORS IN A GASTROINTESTINAL ENDOSCOPY UNIT

Aims The ISO 900:2015 is a Quality System based in the risk evaluation and the continuous improvement of the organization, but could improve the usual indicators that we have in a Gastrointestinal Endoscopy Unit? Our objective was to evaluate the improvement of some of the most usual indicators in Gastrointestinal Endoscopy in our Unit, after to get the certification ISO 900:2015 in March 2019. From the request of the endoscopy to the post procedure, including endoscope reprocessing, traceability, and the management of the tissue sampling.

Methods A Quality committee was formed in our Unit, with the support of the Quality Unit of our Center, University Hospital Infanta Leonor, Madrid. We evaluate the indicators prospectively since January 2018, and we have done a descriptive analysis of our results from January 2018 to December 2020.

Results The Gastrointestinal Endoscopy process was separated in 10 subprocess, and we obtain 25 indicators that are being evaluating continuously. From those 25 indicators, we have an improvement in 13/25 (52%). That improvement was significant in the average waiting time (AWT) for the endoscopy: AWT in days for a gastroscopy from 2018 to 2020 (45.58, 38.84 and 15.67 days respectively). AWT, days for a colonoscopy (136.37, 61.14 and 15.65 respectively).

Table 1

Some of the 25 Indicators that are being evaluating continuously.*Initial certification ISO 900:2015	2018	2019*	2020
Average waiting time for gastroscopy (days).	45.58	38.84	15.67
Average waiting time for colonoscopy (days).	136.37	61.14	15.65
% Wrong request for sedation with or without Anesthesiologist.	---	4.16%	2.46%
Minor traceability incidents.	---	41	21

Conclusions A Quality System based in the ISO 9001:2015 could improve some of the usual indicators that we have in our Units. In our case, that improvement was in the 52% of the indicators, particularly in the AWT for a gastroscopy and colonoscopy, with a decrease of 66% and 88% respectively.

Publication History

Article published online:
14 April 2022