The ECQI Group will form its own management structure, including roles and responsibilities for individual members.
The ECQI Group is an independent group of colonoscopy experts, academics and thought leaders from Europe with the aim of improving quality in colonoscopy.
The group governs its own actions and membership. The group is responsible for:
- its outputs including materials, documents and presentations
- making requests for support from external sources
- the evaluation of and decision making on issues related to the future activity and status of the group
The audit is the first project of the ECQI Group. The audit aims to allow healthcare professionals across Europe to record data about their institution (hospital), their own practice, and against individual colonoscopy procedures. The data submitted is held centrally by a data management company (Pharmatelligence) allowing consolidation and analysis across countries.
- Complement the initiatives of other groups to drive quality standards in colonoscopy and collaborate with all
- Facilitate the measurement of clinical practice quality in colonoscopy
- Enable individuals and institutions to measure their quality against others in order to improve
- Discuss, identify and analyse how to facilitate improvement
- Be widely and freely available to those who wish to participate, including those countries seeking to improve their standards
Since 2015, improving the quality of colonoscopies performed in Sweden has been the main focus of the Endoscopy Committee of the Swedish Gastroenterology Society (SGF). In accordance with information on the objectives and work of the European Colonoscopy Quality Investigation (ECQI) Group, at the most recent meeting on 15 February 2017, a unanimous decision was made to provide full support for the ECQI Group's continued work, and the decision was approved by the SGF on 14 March 2017.
The results of the ECQI will be included in the Endoscopy Committee's report at the SGF's future annual meetings.
The SGF looks forward to successful collaboration with the ECQI group in improving the quality of colonoscopies in Sweden.
Dr Gabriele Wurm Johansson, PhD
Chairman of the Endoscopy Committee of the SGF
Chief Physician, Endoscopy Clinic Skåne University Hospital, Malmö
Response to the Letter to the Editor in the United European Gastroenterology Journal on the ECQI initiative:1
For the May 2018 ECQI newsletter, click here
ECQI in print: our letter to the editor has been published in the United European Gastroenterology Journal. First published April 13, 2018.2 View full article
ECQI abstracts were accepted for oral presentations at the European Society of Gastrointestinal Endoscopy (ESGE) Days, held in Budapest, April 2018.3,4
The latest performance measures are available;5 the ECQI questionnaire is currently being refined and the new version will be available in 2018.
Dr. David Greenwald from the US Gastrointestinal Quality Improvement Consortium, Ltd. (GIQuIC) was the guest speaker at the annual ECQI meeting in Barcelona in 2017. View full article
"Such initiatives as ECQI database are absolutely one of the ways to go, as they allow for such monitoring."
"Your findings clearly show fields in need of quality improvement, however the more important aspect is dissemination among collegues the idea of quality monitoring."
"Your results clearly show that we need to strive for (a) widespread adoption of key performance measures and (b) development of quality improvement interventions. The ECQI platform can help reaching these goals."
Michal F. Kaminski, Marek Bugajski, Raf Bisschops
ECQI Group inaugural meeting to discuss quality in colonoscopy. The ECQI Group recommended a clinical practice level questionnaire be devised to enable colonoscopists to evaluate their own current practice. The group agreed to capture the current state of practice in colonoscopy.
The questionnaire, being the ECQI Group first project, was developed with consideration of the ESGE quality standards.6
Online questionnaire validated by the ECQI Group.
Phase I Pilot; data collected over 1-week; 313 patient procedures recorded.
Online questionnaire refinement via a collaborative iteration process.
Phase 2 pilot; 1,548 patient procedures recorded. Online questionnaire refinement via a collaborative iteration process.
Online questionnaire finalisation.
An abstract and poster have been presented at UEGW 2015 to explain the objectives and nature of the project.7
Online questionnaire open to any HCP for recording of data. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE).
Abstract and poster at UEGW 2016 on the pilot data, 1,548 procedures.8
Abstract and poster at UEGW 2017: Analysed data collected between June 2016 and April 2017 on 2,094 procedures.9
1. Kaminski MF, Bugajski M, Bisschops R. Adoption of colonoscopy quality measures across Europe by Riemann et al. United European Gastroenterol J. 2018;6:1108 – 1108. First Published August 10, 2018. doi.org/10.1177/2050640618794380
2. Riemann JF, Agrawal A, Amaro P et al. Adoption of colonoscopy quality measures across Europe: the European Colonoscopy Quality Investigation (ECQI) Group experience. United European Gastroenterol J. First published April 13, 2018. doi.org/10.1177/2050640618769706
3. Patai Á, Toth E, Agrawal A et al. Assessment of colonoscopy quality in clinical practice. Endoscopy 2018;50(04):S51. DOI: 10.1055/s-0038-1637179
4. ECQI Swedish participants, Toth E , Agrawal A et al. Assessment of colonoscopy quality in clinical practice. Endoscopy 2018. Endoscopy 2018;50(04):S64. DOI: 10.1055/s-0038-1637217
5. Kaminski MF, Thomas-Gibson S, Bugajski M, Bretthauer M, et al. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. United European Gastroenterol J. 2017 Apr;5(3):309-334.
6. Rembacken B, Hassan C, Riemann JF, Chilton A, et al. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 2012; 44: 957-968.
7. Riemann JF, Demedts I, Agrawal A, Jover R, et al. ECQI Group: Improving standards in colonoscopy through a practice level audit tool. Poster session presented at: 23rd UEG Week; 2015 Oct 24-28: Barcelona.
8. Jover R, Agrawal A, Amaro P, Brink L, et al. Pilot results of the ECQI self-assessment questionnaire to evaluate quality in colonoscopy in Europe. Poster session presented at: 24th UEG Week: 2016 Oct 15-19: Vienna.
9. Toth E, Jover R, Spada C, Agrawal A et al. Assessment of colonoscopy in clinical practice compared with European Society of Gastroenterology Endoscopy performance indicators. Poster session presented at UEG Week 2017 Oct 28-Nov 1: Barcelona.