提高结肠镜检查质量:评估乌克兰对绩效指标的遵守情况
Ivan Hornik1,2,3, Andrei Nikiforchin2, Marta Antoniv2,4
1Department of Endoscopy, LLC "GASTROCENTER" Olymed, Kyiv, Ukraine.
乌克兰内镜师表现出对结肠镜检查质量指标的多样性,报告的非计算实践比计算实践更频繁. 提高质量保证和教育对于国家结直肠癌查计划至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 查通过结肠镜显著降低死亡率.
- 乌克兰面临CRC的高负担,需要提高查实践的质量.
研究的目的:
- 评估乌克兰内镜师是否遵守国际结肠镜检查绩效指标 (PM).
- 确定影响乌克兰查结肠镜检查质量的因素.
主要方法:
- 一项采用网络调查向乌克兰EndoAcademy社会成员分发的横截面研究.
- 该调查评估了对六种计算和六种非计算的结肠镜PM的遵守.
主要成果:
- 122名内镜医生做出了回应,报告了对6种质量PM的中位数坚持.
- 报告的非计算的PM (例如,聚检索) 比计算的PM (例如,腺瘤检测率) 更频繁.
- 坚持高质量的PM,特别是照片/视频记录和足够的程序时间,与最佳的多治疗有关.
结论:
- 这项研究揭示了乌克兰内镜医生之间的多胞体管理的文档缺口和变化.
- 基于国际PM的结构化质量保证,审计和反以及教育对于乌克兰以人口为基础的CRC查计划至关重要.
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