JPGN Reports · 6 authors, 5 centres
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This study used a quality improvement methodology to increase the documentation rate of the EoE Endoscopic Reference Score (EREFS) during endoscopies for eosinophilic esophagitis (EoE). After implementing interventions like provider education and documentation templates, the completion rate significantly increased from 72.7% to 94.9%.
Over 12 months, 542 endoscopies were performed on 410 patients with known EoE. The baseline EREFS completion rate was 72.7%. After implementing three PDSA cycles, including provider education and adding EREFS to documentation templates, the completion rate significantly improved to 94.9% (P < 0.001). Limitations include the single-center design at a specialized pediatric institution, which may limit generalizability. The results suggest that targeted education and system changes can improve and sustain higher EREFS documentation rates, which may aid in clinical management by providing an additional measure of disease activity.
