Observed variance in care may be the result of patient factors but is likely to reflect variability in the quality of procedures. Performance monitoring in Interventional Pulmonology involves systematically collecting and analyzing data on various performance metrics, comparing against benchmarks, and using the insights to drive improvements. Performance monitoring, generally through evaluation of metrics, or quality indicators, is focused on outcomes of bronchoscopy and ensuring these meet agreed-upon standards for performance. Quality indicators are defined as “measurable elements of practice performance” that most commonly focus on processes of care or outcomes of care and comprise measurable elements of practice performance that act as markers of high-quality care. Audit and feedback against established minimum standards supports a move away from total procedural numbers as a marker of competency and focuses on evaluating true indicators of quality consistent with optimal patient outcomes, elevating patient safety. Regular and routine audit (with feedback where applicable) should be a standard cultural feature of all Interventional Pulmonology services aspiring to excellence.