Digestivo/Endoscopias, Hospital Universitario Virgen de la Arrixaca. Murcia, España.
Servicio de Calidad Asistencial, Hospital Clínico Universitario Virgen de la Arrixaca.
Rev Esp Enferm Dig. 2018 Oct;110(10):658-666. doi: 10.17235/reed.2018.5652/2018.
The goal of the project encompassing the present paper is to propose useful quality procedures and indicators in order to improve quality in digestive endoscopy units. In this third part outcome procedures and indicators are suggested for endoscopic retrograde cholangiopancreatography (ERCP). First, a diagram of pre- and post-ERCP steps was developed. A group of experts in healthcare quality and/or endoscopy, under the shelter of the Spanish Society of Digestive Diseases (Sociedad Española de Patología Digestiva - SEPD), carried out a qualitative review of the literature regarding quality indicators for ERCP. Then, a paired analysis was used for the selection of identified references. A total of six specific indicators, apart from the common indicators already described, were identified, all of them process indicators (two pre-procedure and four post-procedure). Evidence quality was analyzed for each indicator using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) classification.
本论文涵盖的项目旨在提出有用的质量程序和指标，以提高消化内镜单位的质量。在第三部分中，提出了内镜逆行胰胆管造影术（ERCP）的内镜程序和指标。首先，制定了 ERCP 前后步骤的图表。一组医疗保健质量和/或内镜专家在西班牙消化疾病学会（Sociedad Española de Patología Digestiva - SEPD）的庇护下，对 ERCP 的质量指标进行了文献的定性审查。然后，使用配对分析选择确定的参考文献。除了已经描述的常见指标外，还确定了六个特定指标，均为过程指标（两个术前指标和四个术后指标）。使用推荐评估、制定和评估分级（GRADE）分类对每个指标的证据质量进行了分析。
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