title: Quality Assurance in the Endoscopy Suite: Sedation and Monitoring.
abstract: Recent development and expansion of endoscopy units has necessitated similar progress in the quality assurance of procedure sedation and monitoring. The large number of endoscopic procedures performed annually underlies the need for standardized quality initiatives focused on mitigating patient risk before, during, and immediately after endoscopic sedation, as well as improving procedure outcomes and patient satisfaction. Specific standards are needed for newer sedation modalities, including propofol administration. This article reviews the current guidelines and literature concerning quality assurance and endoscopic procedure sedation.
authors.affiliation: Department of Medicine, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205, USA.
authors.forename: Zachary P
authors.initials: ZP
authors.lastname: Harris
authors.affiliation: Department of Medicine, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Liu
authors.affiliation: Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address: jsaltzman@bwh.harvard.edu.
authors.forename: John R
authors.initials: JR
authors.lastname: Saltzman
mesh_terms: D002983:Clinical Competence; D016292:Procedural Sedation / Q000592:standards*; D054810:Deep Sedation / Q000592:standards*; D016099:Endoscopy, Gastrointestinal / Q000706:statistics & numerical data*; D005762:Gastroenterology / Q000193:education / Q000592:standards; D019983:Guideline Adherence; D006801:Humans; D007258:Informed Consent / Q000592:standards; D008487:Medical History Taking; D016343:Monitoring, Intraoperative / Q000592:standards*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D018570:Risk Assessment; D000067494:Time Out, Healthcare / Q000592:standards
keywords: Colonoscopy; Endoscopy safety; Moderate sedation; Procedural sedation; Propofol; Quality