Avoiding Medicolegal Complications

Cotton, Peter B.; Saxton, James W.; Finkelstein, Maggie M

doi:10.1016/j.giec.2007.01.003

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Success rates for colonoscopy are greater for practitioners with greater experience and those who perform at least 100 to 200 procedures annually (55,56) and, in the absence of evidence to the contrary, it is reasonable to consider that this also applies to EGD. The development of credentialing and monitoring programs for endoscopy will be driven, not only by the need to improve the quality of endoscopy services but also by physicians' needs to maintain their licences and college affiliations, and by the threat of litigation (57). Most Canadian physicians are now required to document participation in a specified number of accredited continuing professional development activities.…”

Section: Maintenance Of Competencementioning

confidence: 99%

Canadian Credentialing Guidelines for Esophagogastroduodenoscopy

Ponich

Enns²,

Romagnuolo³

et al. 2008

Canadian Journal of Gastroenterology

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Section: Maintenance Of Competencementioning

confidence: 99%

Canadian Credentialing Guidelines for Esophagogastroduodenoscopy

Ponich

Enns²,

Romagnuolo³

et al. 2008

Canadian Journal of Gastroenterology

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“…The likelihood of being sued as a result is greatly reduced if procedures are done for good reasons (that the patient understands), by an endoscopist with adequate knowledge, expertise (and humanity), in a wellequipped unit, with experienced staff familiar with the procedure (Cotton, Saxton, & Finkelstein, 2007;Frakes & Cotton, 2013).…”

Section: Discussionmentioning

confidence: 99%

Have You Had an ERCP Lawsuit Yet?

Cotton¹

2015

Gastroenterology Nursing

Self Cite

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Endoscopic Retrograde CholangioPancreatography (ERCP) is the most dangerous procedure performed regularly by gastroenterologists. While serious adverse events cannot all be avoided, there are many ways to reduce the risk of their resulting in a lawsuit. The most important is for the endoscopist to communicate carefully and fully with patients and family members before the procedure-providing truly informed consent-and afterwards, especially when there is a poor outcome.

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“…Liability in malpractice claims is variable according to national legislation and it is the responsibility of trainers and their institutions to ensure adequate professional liability insurance and cover for AEs occurring during training [196]. Medical errors are a significant concern both to healthcare professionals and to the public at large [191], and taking visible and clear preventive actions decreases the frequency and costs of avoidable AEs [197]. To this end, it is highly advisable to implement risk management programs [198], encourage physicians to report and study errors, and engage in regular morbidity and mortality conferences, in order to foster a culture of service excellence [199,200].…”

Section: Medicolegal Requirements and Considerationsmentioning

confidence: 99%

Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Antonelli,

Voiosu,

Pawlak

et al. 2023

Endoscopy

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Main StatementsThis ESGE Position Statement provides structured and evidence-based guidance on the essential requirements and processes involved in training in basic gastrointestinal (GI) endoscopic procedures. The document outlines definitions; competencies required, and means to their assessment and maintenance; the structure and requirements of training programs; patient safety and medicolegal issues. 1 ESGE and ESGENA define basic endoscopic procedures as those procedures that are commonly indicated, generally accessible, and expected to be mastered (technically and cognitively) by the end of any core training program in gastrointestinal endoscopy. 2 ESGE and ESGENA consider the following as basic endoscopic procedures: diagnostic upper and lower GI endoscopy, as well as a limited range of interventions such as: tissue acquisition via cold biopsy forceps, polypectomy for lesions ≤ 10 mm, hemostasis techniques, enteral feeding tube placement, foreign body retrieval, dilation of simple esophageal strictures, and India ink tattooing of lesion location. 3 ESGE and ESGENA recommend that training in GI endoscopy should be subject to stringent formal requirements that ensure all ESGE key performance indicators (KPIs) are met. 4 Training in basic endoscopic procedures is a complex process and includes the development and acquisition of cognitive, technical/motor, and integrative skills. Therefore, ESGE and ESGENA recommend the use of validated tools to track the development of skills and assess competence. 5 ESGE and ESGENA recommend incorporating a multimodal approach to evaluating competence in basic GI endoscopic procedures, including procedural thresholds and the measurement and documentation of established ESGE KPIs. 7 ESGE and ESGENA recommend the continuous monitoring of ESGE KPIs during GI endoscopy training to ensure the trainee’s maintenance of competence. 9 ESGE and ESGENA recommend that GI endoscopy training units fulfil the ESGE KPIs for endoscopy units and, furthermore, be capable of providing the dedicated personnel, infrastructure, and sufficient case volume required for successful training within a structured training program. 10 ESGE and ESGENA recommend that trainers in basic GI endoscopic procedures should be endoscopists with formal educational training in the teaching of endoscopy, which allows them to successfully and safely teach trainees.

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Avoiding Medicolegal Complications

Cited by 6 publications

References 16 publications

Canadian Credentialing Guidelines for Esophagogastroduodenoscopy

Canadian Credentialing Guidelines for Esophagogastroduodenoscopy

Have You Had an ERCP Lawsuit Yet?

Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

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