测量和提高食道护理和吞障碍的质量
Alexander T Reddy1, Joshua P Lee1, David A Leiman1,2
1Division of Gastroenterology, Duke University, Durham, NC, USA.
概括
对于食道疾病的质量指标是常见的,但实践中存在差异. 提高患者教育,活检频率和内镜评估,可以提高对诸如阿喀拉西亚,性食道炎和巴雷特食道等疾病的护理.
科学领域:
- 胃肠病学 胃肠病学
- 改善临床质量 改善临床质量
- 食道疾病 食道疾病
背景情况:
- 质量指标越来越多地用于评估食道疾病的临床护理.
- 专家的共识和基于证据的指导方针构成了这些质量声明的基础.
- 现有的指标涵盖了包括GERD,EoE,achalasia和BE在内的疾病的诊断,治疗和监测.
研究的目的:
- 评估当前食道疾病管理中的质量指标.
- 确定实践中存在重大变化和改进机会的领域.
- 突出质量指标在标准化护理和改善患者治疗结果方面的作用.
主要方法:
- 对良性和前恶性食道疾病现有的质量声明和指标的审查.
- 对评估遵守既定质量指标的最新研究进行分析.
- 识别特定的临床实践中存在明显的差异和需要改进的领域.
主要成果:
- 在各种食道疾病中,实践模式存在实质性的差异.
- 需要改进的关键领域包括患者对阿喀拉西亚的教育,在缺食症患者中对EoE的活检频率,以及对巴雷特食道段的内镜监测.
- 国家质量数据库越来越多地被用于质量改进活动.
结论:
- 坚持质量指标提供了一条标准化和改善食道疾病护理的途径.
- 解决已识别的实践变异可能会导致更好的患者结果.
- 质量指标有望影响未来的质量报告和支付计划.
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