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[奥地利内镜逆行胰胆管造影术基准项目:一份十年报告]

[Austrian benchmarking project for ERCP: a 10-year report].

作者信息

Kienbauer Melanie, Duller Christine, Gschwantler Michael, Püspök Andreas, Schöfl Rainer, Kapral Christine

机构信息

Interne 4 - Gastroenterologie, Ordensklinikum Linz Elisabethinen, Linz, Austria.

Johannes Kepler Universität Linz Institut für Angewandte Statistik, Linz, Austria.

出版信息

Z Gastroenterol. 2018 Oct;56(10):1227-1236. doi: 10.1055/a-0661-6068. Epub 2018 Aug 14.

Abstract

The quality assurance program "Benchmarking ERCP", that his been under the patronage of the ÖGGH for ten years (with a one-year break in 2008), in collaboration with the Institute for Applied Statistics University Linz, has followed patient safety measures and successes while undergoing ERCP in Austria. A total of 28 319 examinations were registered. The participating centers all had different ERCP frequency and variable expertise, thereby enabling them to recognise individual problems in terms of success, cannulation and complication rates (3.9 % post-ERCP pancreatitis, 3.8 % bleeding, 0.6 % perforation, 1.2 % cholangitis, 1.0 % cardiopulmonary complications). The aim of quality assurance measures in medicine is to ensure the best possible patient care.

摘要

由奥地利医科大学总医院赞助长达十年(2008年中断了一年)的“ERCP基准测试”质量保证项目,与林茨大学应用统计研究所合作,跟踪了奥地利在进行内镜逆行胰胆管造影术(ERCP)时的患者安全措施及成效。总共记录了28319例检查。参与的中心ERCP频率各异,专业水平也不尽相同,从而使它们能够在成功率、插管成功率及并发症发生率(ERCP术后胰腺炎3.9%、出血3.8%、穿孔0.6%、胆管炎1.2%、心肺并发症1.0%)方面识别出各自的问题。医学质量保证措施的目的是确保为患者提供尽可能最佳的护理。

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