The occlusion rate of plastic biliary stents is known to rise precipitously 3 months after placement. Thus, it is critical that they be exchanged or removed within the appropriate timeframe. After encountering an index case of acute cholangitis due to occlusion of a plastic biliary stent placed more than a year prior, a gastrointestinal fellow–initiated quality improvement project (QI) was initiated. We hypothesized that incomplete endoscopic retrograde cholangiopancreatography (ERCP) reporting may lead to delayed plastic stent exchange or removal in our open ERCP system.