Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Department of Medicine and VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Am J Gastroenterol. 2020 Aug;115(8):1183-1190. doi: 10.14309/ajg.0000000000000622.
Colonoscopy is a safe and effective tool, but operator dependent. Room for improvement in the quality of colonoscopy is the impetus for the development and measurement of colonoscopy quality indicators and the focus of many efforts to improve colonoscopy quality indicator prevention and control in provider practices and health systems. We present the preprocedural, intraprocedural, and postprocedural quality indicators and benchmarks for colonoscopy. Every provider and practice must make a commitment to performing high-quality colonoscopy and implement and monitor quality metrics. There are a variety of tools available to assist in improving quality indicators that range from distal attachment devices to education and feedback. Although technology can help, it is not a substitute for proper technique. The commitment also requires provider feedback through audits and report cards. The impact of these efforts on patient outcomes is an important area of further research.
结肠镜检查是一种安全有效的工具，但依赖于操作人员。改善结肠镜检查质量的空间是开发和衡量结肠镜检查质量指标的动力，也是许多努力的重点，旨在改善医疗机构和卫生系统中结肠镜检查质量指标的预防和控制。我们提出了结肠镜检查的术前、术中和术后质量指标和基准。每个提供者和医疗机构都必须承诺进行高质量的结肠镜检查，并实施和监测质量指标。有各种工具可用于协助改善质量指标，范围从远端附件设备到教育和反馈。尽管技术可以提供帮助，但它不能替代正确的技术。这种承诺还需要通过审核和报告卡提供提供者反馈。这些努力对患者结果的影响是进一步研究的重要领域。
