ENDOSCOPY
and other areas. (JAG 2020) There are further resources that provide additional information and support when planning any changes within the environment. The additional guidance is found in Health Building Notes and the Health Technical Memoranda. These documents provide core elements required within the endoscopy environment. These documents are: l HBN 00-10 – Part A. Design for flooring, walls, ceiling, sanitary ware, and windows.
l HBN 10-02 – Day Surgery Units. l HBN 23 – Hospital Accommodation for Children.
l HBN 00-03 – Clinical and Clinical Support Services.
l HTM 01-06 – Management and decontamination of flexible endoscopes.
l HTM 03-01 – Heating and Ventilation Systems: Specified for Healthcare.
It is important to be able to record all endoscopy procedures. The record should document the patient, their procedure, if the procedure was completed and the endoscopist who carried out the procedure.
The National Endoscopy Database The National Endoscopy Database (NED) is part of the JAG programme at the Royal College of Physicians. NED is populated by data extracted automatically from the endoscopy reporting system (ERS). (NED 2020). The aim of NED is to:
l Support and enable improved quality assurance in endoscopy.
l Enhance JETS, removing the double data entry for trainees.
l Offer potential for research by providing a central store for key endoscopy data.
JAG – Endoscopy accreditation standards for endoscopy services The JAG accreditation standards were developed to reduce the collection of evidence for accreditation and to reflect current expectations in practice. Accreditation enables organisations to assess their current performance and gives them the ability to develop their service and to become trusted, focused and sustainable, to offer their users a great experience. The standards are designed to provide endoscopy services with a framework to support the assessment of services and give them the ability to deliver person-centred care and to be used to assess organisations for accreditation.
Aim
The aim of the JAG accreditation quality assurance standards (QA) is to support the achievement of high-quality and safe endoscopy services.
The standards
The QA standards make the accreditation processes clearer for services. The accreditation standards are split into four domains and these are:
Accreditation means that the endoscopy service is delivering high quality and safe patient care. This is motivational for all the team and is a testament to the care they provide to patients.
20 l
WWW.CLINICALSERVICESJOURNAL.COM
l CQ – Clinical Quality l QP – Quality of the patient experience l WR – Workforce l TR - Training
Domain 1: Clinical Quality The clinical quality domain encompasses the services role in safe, effective accurate diagnosis and treatment or ongoing management. This is achieved through clinical practices that are appropriate to the patient population, effective management of risk and emergencies, and the review of existing and new clinical practice to develop and improve the service. The key clinical quality areas include: l CQ1 – Leadership and Organisation: The endoscopy service shall have a defined leadership management and accountability structure to achieve an effective patient centred service.
l CQ2 – Safety: The endoscopy service shall have processes in place to identify respond to and learn from expected and unexpected adverse events.
l CQ3 – Comfort: The endoscopy service shall ensure that it implements and monitors systems to achieve the comfort and respect of patients at all stages of their care.
l CQ4 – Quality: The endoscopy service shall ensure that it implements and monitors systems for the clinical quality of all procedures.
l CQ5 – Appropriateness: The endoscopy service shall ensure that it implements and monitors systems for all rereferrals and procedures to be appropriate and safe.
l CQ6 – Results: The endoscopy services shall implement and monitor systems to ensure the clinical and technical quality of the interpretation of test results, and their reporting and communication.
NOVEMBER 2020
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