标准化活检协议改善了对乙性食道炎和腹腔疾病的坚持 - - 内镜活检指南
Sharon S Tam1,2, Beth Williams3, Rohit Kohli4
1Division of Gastroenterology, Hepatology, and Nutrition Ann & Robert H. Lurie Children's Hospital of Chicago Chicago Illinois USA.
JPGN reports
|May 19, 2025
概括
实施标准化活检协议显著改善了对性食道炎 (EoE) 和腹腔疾病 (CeD) 准则的遵守. 这项质量改进计划通过在内镜检查期间更好地采样上部胃肠道,提高了诊断准确度.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 提高质量 提高科学 提高质量
背景情况:
- 在内镜检查过程中,优化检测性食道炎 (EoE) 和腹腔疾病 (CeD) 取决于适当的上胃肠道活检.
- 临床实践经常显示,人们对EoE和CeD的内镜活检指南的遵守程度不佳.
研究的目的:
- 通过质量改进倡议,加强遵守已建立的EoE和CeD活检指南.
- 实施标准化活检协议,以改善内镜检查期间的诊断采样.
主要方法:
- 开发了一种标准化活检形式和特定疾病的协议,并集成到电子健康记录 (EHR) 中.
- 通过图表审查收集了关于准则遵守,表格利用和并发症的数据,并使用统计过程控制图表进行了分析.
- 通过对干预前上部内镜的回顾性图表审查来确定基线坚持.
主要成果:
- 总体上,对活检指南的遵守率从45%增加到78.9%,持续了两年.
- 坚持改善到EoE的84%和CeD的69.5%,实践变化减少.
- 整合到EHR的表格实现了90%以上的使用率,没有直接或延迟的程序并发症.
结论:
- 通过使用EHR集成的检查清单对内镜活检进行标准化,可以改善对EoE和CeD指导方针的遵守.
- 实施的协议导致了活检实践和诊断采样的持续改进.
- 这种方法提供了一个可扩展的解决方案,以提高胃肠内镜质量.
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