在美国建立一个门诊肠道内镜套件 - - 麻醉和镇静挑战
1Jefferson Surgical Center Endoscopy, Department of Anesthesiology, Sidney Kimmel Medical College, Jefferson Health, 111 S 11th Street, #8280, Philadelphia, PA 19107, USA.
启动和运行胃肠内镜装置需要仔细规划. 本综述为新的内镜检查中心提供了从患者选择到取消管理等重要方面的全面指导.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健管理的管理
- 健行外科手术 健行外科手术
背景情况:
- 胃肠内镜单位正在增加,但规划人员的指导方针和信息很少.
- 患者选择,程序适当性和获得第三级护理等关键问题仍在争论中.
- 领导者在开放后经常面临意想不到的挑战,这凸显了结构化指导的必要性.
研究的目的:
- 为建立和运营胃肠内镜装置提供全面的信息.
- 解决规划者和医生遇到的关键和非关键问题.
- 为各种运营方面提供最佳实践的见解.
主要方法:
- 这是一篇综述性文章,综合了现有的信息和专家知识.
- 它涵盖了与内镜单位建立和管理相关的广泛主题.
- 审查假设大多数程序的propofol诱导的深度镇静.
主要成果:
- 确定计划的关键领域:推系统,选址,布局,规章制度,药物,设备和紧急协议.
- 讨论了患者出院的标准,出院后的随访,以及取消管理.
- 强调需要主动规划,以避免运营问题.
结论:
- 有效的规划和遵守指导方针对于成功运行内镜装置至关重要.
- 积极解决所有运营方面的问题可以减轻挑战,改善患者护理.
- 本综述是开发和管理内镜设施的基础资源.
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