Rev Esp Enferm Dig. 2018 May;110(5):316-326. doi: 10.17235/reed.2018.5408/2017.
The aim of the project this paper is part of was to propose quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. In this second issue, procedures and indicators are suggested regarding colonoscopy. First, a diagram charting the previous and subsequent steps of colonoscopy was designed. A group of experts in health care quality and/or endoscopy, under the auspices of the Sociedad Española de Patología Digestiva (SEPD), performed a qualitative review of the literature regarding colonoscopy-related quality indicators. Subsequently, using a paired-analysis method, the aforementioned literature was selected and analyzed. A total of 13 specific indicators were found aside of the common markers elsewhere described, ten of which are process-related (one pre-procedure, seven procedure, and two post-procedure markers) while the remaining three are outcome-related. Quality of evidence was assessed for each one of them using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) classification.
本文所属项目的目标是提出质量与安全程序及指标，以促进消化内镜科室的质量改进。在这第二期内容中，针对结肠镜检查提出了程序和指标。首先，设计了一张描绘结肠镜检查前后步骤的图表。一组医疗质量和/或内镜领域的专家，在西班牙消化病学会（SEPD）的支持下，对有关结肠镜检查相关质量指标的文献进行了定性综述。随后，采用配对分析方法，对上述文献进行了筛选和分析。除了其他地方描述的常见指标外，共发现了13项具体指标，其中10项与过程相关（1项检查前、7项检查中、2项检查后指标），其余3项与结果相关。使用GRADE（推荐分级的评估、制定与评价）分类法对每一项指标的证据质量进行了评估。
