培训干预对胃肠上部内镜质量随时间推移的影响:多中心比较队列研究
Lieke Maria Koggel1, Jole P E van Berlo1, Fleur A Indemans2
1Gastroenterology and Hepatology, Radboudumc, Nijmegen, Netherlands.
Endoscopy international open
|March 20, 2025
概括
一次简短的培训干预通过提高对绩效措施的遵守,显著改善了上部胃肠道 (UGI) 内镜质量评分. 这种UGI内镜质量的提高可能有助于预防错过的病变.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 提高质量 提高质量
背景情况:
- 欧洲胃肠内镜学会 (ESGE) 和英国胃肠病学学会 (BSG) 制定了性能测量措施,以提高上胃肠内镜检测率.
- 遵守这些措施对于提高UGI内镜诊断精度至关重要.
研究的目的:
- 评估针对性培训干预对内镜师遵守UGI内镜ESGE和BSG绩效指标的影响.
- 评估这项培训对UGI诊断内镜整体质量的影响.
主要方法:
- 一个多中心的前性队列研究,涉及三个中心的内镜医生.
- 参与者接受了1小时的面对面培训,以了解ESGE/BSG绩效指标,包括检查时间,里程碑式的照片文件,术语和活检协议.
- 质量评估得分评估了UGI内镜在训练前 (控制) 和训练后 (干预) 的评价.
主要成果:
- 在UGI内镜的整体质量评分从对照组的60%增加到干预组的67% (P<0.001).
- 培训干预导致质量得分在统计学上显著改善.
- 与更高的质量分数相关的因素包括男性患者的性别和令人担忧的特征的存在.
结论:
- 一个简单的1小时的培训干预有效地改善了在UGI内镜中对性能测量的遵守.
- 这种培训有可能提高UGI内镜的质量,并减少遗漏病变的发生率.
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