Dept of Medicine, Oslo University Hospital Rikshospitalet, Norway.
Best Pract Res Clin Gastroenterol. 2011 Jun;25(3):419-25. doi: 10.1016/j.bpg.2011.05.009.
Quality assurance work requires acquisition of valid data, as well as mechanisms for enforcing quality criteria, detecting (non-)adherence to these criteria, and for improving inadequate performance. This chapter deals primarily with the various tools available to acquire information at the various steps of the patient journey. Different challenges arise in the prehospital phase, in the endoscopy room, and in the follow-up phase. The endoscopy report is a vital tool for much of the quality work, but other adjoining systems may be equally important to ensure completeness of the dataset required to ensure the requested quality. Future development is discussed briefly, since many of the present challenges may be solved with improved mechanics.
质量保证工作需要获取有效数据,以及执行质量标准、检测(不)遵守这些标准和改进不充分绩效的机制。本章主要介绍在患者就诊过程的各个步骤中获取信息的各种工具。在院前阶段、内镜室和随访阶段会出现不同的挑战。内镜报告是质量工作的重要工具,但其他相邻系统对于确保所需数据集的完整性也同样重要,以确保所要求的质量。由于许多当前的挑战可能通过改进机制来解决,因此简要讨论了未来的发展。