Department of Medicine and Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA 02215, United States.
Best Pract Res Clin Gastroenterol. 2011 Jun;25(3):387-95. doi: 10.1016/j.bpg.2011.05.007.
Over the past decade, most quality assurance (QA) efforts in gastroenterology have been aimed at endoscopy. Endoscopic quality improvement was the rational area to begin QA work in gastroenterology due to the relatively acute nature of complications and the high volume of procedures performed. While endoscopy is currently the focus of most quality assurance (QA) measures in gastroenterology, more recent efforts have begun to address clinical gastroenterology practices both in the outpatient and inpatient settings. Clinical outpatient and inpatient gastroenterology is laden with areas where standardization could benefit patient care. While data and experience in clinical gastroenterology QA is relatively limited, it is clear that inconsistent use of guidelines and practice variations in gastroenterology can lead to lower quality care. In this review, we review a variety of areas in clinical gastroenterology where existing guidelines and published data suggest both the need and practicality of active QA measures.
在过去的十年中，大多数胃肠病学领域的质量保证 (QA) 工作都集中在内镜检查上。由于并发症具有相对急性的特点，并且内镜检查的数量巨大，因此内镜质量的改善成为了胃肠病学 QA 工作的合理切入点。虽然内镜检查目前是胃肠病学质量保证 (QA) 措施的主要关注点，但最近的工作已经开始针对门诊和住院环境中的临床胃肠病学实践进行处理。临床门诊和住院胃肠病学领域存在许多标准化可以使患者受益的领域。虽然临床胃肠病学 QA 的相关数据和经验相对有限，但很明显，胃肠病学中指南的不一致使用和实践差异会导致较低的医疗质量。在这篇综述中，我们回顾了临床胃肠病学中多个领域，其中现有的指南和已发表的数据表明，需要并切实可行地采取积极的 QA 措施。
