Cha Jae Myung
Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2014 Dec;64(6):320-32. doi: 10.4166/kjg.2014.64.6.320.
The motivation for improving quality of gastrointestinal endoscopy begins with the desire to provide patients with the best possible care. Gastrointestinal endoscopy is an excellent area for quality improvement because of its high volume, significant associated risk and expense, and variability in its performance affecting outcomes. Therefore, the assurance that high-quality endoscopic procedures are performed has taken increased importance. The 'Korean Gastrointestinal Endoscopy Research Foundation' and 'Korean Society of Gastrointestinal Endoscopy', as ladders in promoting the highest quality patient care, formed endoscopy quality evaluation in 'National Cancer Screening Program' and'Endoscopy Unit Accreditation' in Korea. However, both new systems have not settled down despite efforts of many years and support by the government. In this article, the past and present of quality improvement of gastrointestinal endoscopy will be reviewed, and the future of quality improvement of gastrointestinal endoscopy will be illuminated.
提高胃肠内镜检查质量的动机源于为患者提供尽可能最佳护理的愿望。胃肠内镜检查是质量改进的一个绝佳领域,因为其检查量大、相关风险和费用高,且操作的变异性会影响结果。因此,确保实施高质量的内镜检查程序变得愈发重要。“韩国胃肠内镜研究基金会”和“韩国胃肠内镜学会”作为推动最高质量患者护理的阶梯,在韩国的“国家癌症筛查计划”中形成了内镜质量评估,并开展了“内镜科室认证”。然而,尽管经过多年努力并得到政府支持,这两个新系统仍未稳定下来。在本文中,将回顾胃肠内镜检查质量改进的过去与现在,并阐明胃肠内镜检查质量改进的未来。