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3 The endoscopy unit
Harpreet Pall
Well‐designed endoscopy units are essential to providing high‐quality care in pediatric gastroenterology.
Meticulous disinfection of the instruments is a vital component of patient safety.
Appropriate staffing models are important to the safety and success of endoscopy.
Process and quality improvement activities are a key component of unit management.
Close attention to the equipment needed for pediatric endoscopy is necessary.
Unit design
Proper design of the pediatric endoscopy unit is crucial to the experience of the patient as well as the efficiency of the endoscopy team. Pediatric‐focused facilities prioritize the child and family experience with the goal of reducing patient anxiety and providing age‐appropriate analgesia [1,2]. Design and management of the endoscopy unit needs to be specialized for this unique patient population. A calming environment and smooth patient flow are critical. Ideally, encounters between preprocedure and postprocedure patients should be minimized.
In the United States, endoscopy procedures in children are performed in a variety of locations, including operating rooms, procedure rooms, dedicated endoscopy suites, and ambulatory surgery centers [1,2]. In low‐volume centers, use of the operating room may be appropriate. For those units located in general hospitals, a combined adult/pediatric unit can offer cost savings in terms of equipment and facilities, as well as close proximity for pediatric endoscopists to adult therapeutic endoscopists. Recent survey data suggest up to 40% of centers in the United States currently perform endoscopy in a dedicated pediatric endoscopy unit [1]. Sharing space with other specialties such as pulmonology may be an option, but this can decrease the ability to customize the space