Quality improvement

Quality improvement

Statement 1.6

IBD teams should promote continuous quality improvement and participate in local and national audit.

Why is it important?

To help improve IBD services and provide the best possible care for patients, it’s important for the whole IBD team to work together. A culture of continuous improvement and having a lead for service development is vital for this to happen.

IBD teams should:

  • Participate in local and national activities intended to improve quality
  • Take an active part in clinical network arrangements
  • Hold an annual review day to assess their service, looking at patient experience and clinical and patient-reported results

Patients and their family or carer(s) should also have a say in what happens, and be directly involved in the development of the IBD service.

Regular audits are the cornerstone of continuous improvement. These involve:

  • Discussing all IBD mortality and submitting the results to national data collection
  • Submitting results for patients receiving biological therapies to the UK IBD Registry Biologics Audit
  • Submitting the results of all emergency colectomy, ileoanal pouch (the ACPGBI Ileal Pouch Registry) and abdominal operations for Crohn’s Disease to national audit and data collection
  • Registering IBD patients undergoing surgery in national databases to allow comparative audit of agreed key performance indicators – such as the nature, number and outcomes of surgeries performed – along with simple metrics on immediate and delayed complications, and referral for medical follow-up

Quality improvement should be embedded in our culture, so teams can adapt to changing patient needs and new clinical evidence. Understanding local and national audit results is essential for this to happen.

Isobel Mason, Nurse Consultant in Gastroenterology