Evidence-Based Medicine in Gastroenterology: 9 Quality Indicators for ERCP

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Evidence-based medicine is a large component of the evolving healthcare landscape and the growth of accountable care. Here are nine quality indicators for endoscopic retrograde cholangiopancreatography for gastroenterologists to know, according to the American Society of Gastrointestinal Endoscopy/American College of Gastroenterology Taskforce on Quality in Endoscopy.

1.    Appropriate indication
2.    Informed consent
3.    Assessment of procedural difficulty
4.    Prophylactic antibiotics
5.    Cannulation rates (desired duct, use of precut)
6.    Extraction of common bile duct stones
7.    Biliary stent placement
8.    Complete documentation
9.    Complication rates: pancreatitis, bleeding, perforation and cholangitis

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