Skip to main content
SpringerLink
Log in

Quality Control Mechanism for Endoscopic Procedures

  • Chapter
  • First Online:
Principles and Practice of Interventional Pulmonology

Abstract

This chapter highlights areas that quality control can be effectively used for endoscopic units to improve the quality of endoscopic procedures. Examples are given throughout this chapter to illustrate practical application of theoretical ideas. As few individuals running endoscopy units have formal training in the scientific techniques of quality control, several tools are explained in this chapter that can be used for quality control programs. Quality control in a bronchoscopy suite is a very complex process. The most important step is that the leadership of the unit realizes the necessity of such a program. Initially, it requires champions of quality that can identify areas of concern and foster the support to collect the appropriate data to be analyzed. Quality control programs require strategies of approach to problems, which must be standardized to allow for a long-term program that will successfully guide the bronchoscopy suite to an effective, efficient, safe, and financially strong unit.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Berwick D, Calkins D, McCannon C. The 100 000 lives campaign setting a goal and a deadline for improving health care quality. JAMA. 2006;295:324–7.

    Article  PubMed  CAS  Google Scholar 

  2. Mosser G, Frisch K, Skarada P, Gertner E. Addressing the challenges in teaching quality improvement. Am J Med. 2009;122:487–91.

    Article  PubMed  Google Scholar 

  3. Batalden PB, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff. 2002;21:103–11.

    Article  Google Scholar 

  4. Accreditation Council for Graduate Medical Education: Common Program Requirements: General Competencies. Available at: http://www.acgme.org/outcome/comp/General CompetenciessStandards 21307.pdf. Accessed Dec 2010.

  5. www.endonurse.com Bronchoscope pseudomonas outbreak rattles Johns Hopkins, 2001. Accessed Sept 2010.

  6. http://findarticles.com/p/articles/mi_m0BPC/is_3_27/ai_99121155/. Accessed Sept 2010.

  7. Adsit D. What the call center industry can learn from manufacturing: Part I, In Queue, http://www.nationalcallcenters.org/pubs/In_Queue/vol2no21.html (2007). Accessed Sept 2010.

  8. Adsit D. What the call center industry can learn from manufacturing: Part II, In Queue, http://www.nationalcallcenters.org/pubs/In_Queue/vol2no22.html (2007). Accessed Sept 2010.

  9. http://www.isixsigma.com. Accessed Sept 2010.

  10. DeFeo JA, Barnard W. JURAN Institute’s six sigma breakthrough and beyond – quality performance breakthrough methods. New York: Tata McGraw-Hill; 2004.

    Google Scholar 

  11. Lloyd RC. Quality health care: a guide to developing and using indicators. Sadbury: Jones and Bartlett; 2004.

    Google Scholar 

  12. McLaughlin CP, Kaluzny AD. Continuous quality improvement in health care. 3rd ed. Sadbury: Jones and Bartlett; 2006.

    Google Scholar 

  13. https://biolincc.nhlbi.nih.gov/studies/pphreg/. Accessed Sept 2010.

  14. http://pulmonary.templehealth.org/content/upload/AssetMgmt/documents/Idiopathic%20Pulmonary%20Fibrosis%20Studies.pdf. Accessed June 2010.

  15. http://www.chestnet.org/accp/quality-improvement/aquire. Accessed June 2010.

  16. Ernst A, Simoff M, Ost D, Godman Y, Herth FJ. Prospective risk-adjusted morbidity and mortality outcome analysis after therapeutic bronchoscopic procedures results of a multi-institutional outcomes database. Chest. 2008;134:514–9.

    Article  PubMed  Google Scholar 

  17. Ernst A, Simoff M, Ost D, Michaud G, Chandra D, Herth F. A multi-center, prospective, advanced diagnostic bronchoscopy ­outcomes registry. Chest. 2010;138:165–70.

    Article  PubMed  Google Scholar 

  18. CPT Assistant. Simoff M. Coding Brief: Transbronchial Needle Aspiration Zones (TBNA). American Medical Association. Chicago, w 19 (11) 8, 2009. Adapted from Plummer, AL. Endoscopic and airway services. In Coding for Chest Medicine 2010: Pulmonary, Critical Care, Sleep. Edited by Manaker, S, Krier-Morrow, D and Pohlig, C. American College of Chest Physicians; Northbrook, IL: 2010.

    Google Scholar 

  19. Roth K, Hardie J, Andreassen A, Leh F, Eagan TM. Predictors of diagnostic yield in bronchoscopy: a retrospective cohort study comparing different combinations of sampling techniques. BMC Pulm Med. 2008;26:8.

    Google Scholar 

  20. Hummel M, Rudert S, Hof H, Hehlmann R, Buchheidt D. Diagnostic yield of bronchoscopy with bronchoalveolar lavage in febrile patients with hematologic malignancies and pulmonary infiltrates. Ann Hematol. 2008;87:291–7.

    Article  PubMed  Google Scholar 

  21. Mehta A, Prakash U, Garland R, Haponik E, Moses L, Schaftner W, Silvestri G. American college of chest physicians and American association for bronchoscopy consensus statement: prevention of bronchoscopy-associated infection. Chest. 2005;128:1742–55.

    Article  PubMed  Google Scholar 

  22. Kiefe C, Allison J, Williams O, Person SD, Weaver MT, Weisman NW. Improving quality improvement using achievable benchmarks for physician feedback. JAMA. 2001;285:2871–9.

    Article  PubMed  CAS  Google Scholar 

  23. Laffel G, Berwick D. Quality in health care. JAMA. 1992;268:407–8.

    Article  PubMed  CAS  Google Scholar 

  24. Lynn J, Baily M, Bottrell M, Jennings B, Levine RJ, Davidoff F, Casarett D, Corrigan J, Fox E, Wunia MK, Agich GJ, O’Kane M, Speroff T, Schyve P, Batalden P, Tunis S, Berlinger N, Cronefwett L, Fitzmaucice JM, Dubler NN, Jones B. The ethics of using quality improvement methods in health care. Ann Intern Med. 2007;146:666–73.

    Article  PubMed  Google Scholar 

  25. Plsek P. Quality improvement methods in clinical medicine. Pediatrics. 1999;103:203–14.

    PubMed  CAS  Google Scholar 

  26. Shortell S, O’Brien J, Carman J, Foster RW, Hughes EF, Boerstler H, O’Connor EJ. Assessing the impact of continuous quality improvement/total quality management: concept versus implementation. HSR: Health Ser Res. 1995;30:377–401.

    CAS  Google Scholar 

  27. Diette G, White P, Terry P, Jenckes M, Wise RA, Rubin HR. Quality assessment through patient self-report of symptoms prefiberoptic and postfiberoptic bronchoscopy. Chest. 1998;114:1446–53.

    Article  PubMed  CAS  Google Scholar 

  28. Kritchevsky S, Simmons B. Continuous quality improvement. JAMA. 1991;266:1817–23.

    Article  PubMed  CAS  Google Scholar 

  29. Elson R, Faughnan J, Connelly D. An industrial process view of information delivery to support clinical decision making. JAMIA. 1997;4:266–78.

    PubMed  CAS  Google Scholar 

  30. Tilley B, Lynden P, Brott T, Lu M, Levine SR, Welch KM. Total quality improvement method for reduction of delays between emergency department admission and treatment of acute ischemic stroke. Arch Neurol. 1997;54:1466–74.

    Article  PubMed  CAS  Google Scholar 

  31. Posner K, Kendall-Gallagher D, Glosten B. Linking process and outcome of care in a continuous quality improvement program for anesthesia services. Am J Med Qual. 1994;9:129–37.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Wayne State University, 2799 West Grand Blvd, Detroit, 48202, MI, USA

    Michael J. Simoff M.D., FCCP

Authors
  1. Michael J. Simoff M.D., FCCP
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael J. Simoff M.D., FCCP .

Editor information

Editors and Affiliations

  1. Pulmonary, Critical Care,, and Sleep Medicine, St. Elizabeth's Medical Center, 1 Deaconess Rd. CC 540, Boston, 02215, Massachusetts, USA

    Armin Ernst

  2. Department of Pneumology and, University of Heidelberg, 5 Amalienstr., Heidelberg, 69126, Germany

    Felix JF Herth

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Simoff, M.J. (2013). Quality Control Mechanism for Endoscopic Procedures. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4292-9_5

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4291-2

  • Online ISBN: 978-1-4614-4292-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation