内镜检查单位认证指南：来自韩国结直肠外科学会的质量指标
Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology.
作者信息
Shin Rumi, Lee Seongdae, Han Kyung-Su, Sohn Dae Kyung, Moon Sang Hui, Choi Dong Hyun, Kye Bong-Hyeon, Son Hae-Jung, Lee Sun Il, Si Sumin, Kang Won-Kyung
机构信息
The Colonoscopy Committee, The Korean Society of Coloproctology (KSCP), Seoul, Korea.
Department of Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.
出版信息
Ann Surg Treat Res. 2021 Mar;100(3):154-165. doi: 10.4174/astr.2021.100.3.154. Epub 2021 Feb 26.
PURPOSE
Colonoscopy is an effective method of screening for colorectal cancer (CRC), and it can prevent CRC by detection and removal of precancerous lesions. The most important considerations when performing colonoscopy screening are the safety and satisfaction of the patient and the diagnostic accuracy. Accordingly, the Korean Society of Coloproctology (KSCP) herein proposes an optimal level of standard performance to be used in endoscopy units and by individual colonoscopists for screening colonoscopy. These guidelines establish specific criteria for assessment of safety and quality in screening colonoscopy.
METHODS
The Colonoscopy Committee of the KSCP commissioned this Position Statement. Expert gastrointestinal surgeons representing the KSCP reviewed the published evidence to identify acceptable quality indicators and indicators that lacked sufficient evidence.
RESULTS
The KSCP recommends an optimal standard list for quality control of screening colonoscopy in the following 6 categories: training and competency of the colonoscopist, procedural quality, facilities and equipment, performance indicators and auditable outcomes, disinfection of equipment, and sedation and recovery of the patient.
CONCLUSION
The KSCP recommends that endoscopy units performing CRC screening evaluate 6 key performance measures during daily practice.
目的
结肠镜检查是筛查结直肠癌（CRC）的有效方法，它可通过检测和切除癌前病变来预防CRC。进行结肠镜检查筛查时最重要的考虑因素是患者的安全性和满意度以及诊断准确性。因此，韩国结直肠外科学会（KSCP）在此提出在内镜检查科室及由个体结肠镜检查医师用于筛查结肠镜检查的最佳标准执行水平。这些指南确立了筛查结肠镜检查安全性和质量评估的具体标准。
方法
KSCP的结肠镜检查委员会委托撰写本立场声明。代表KSCP的专家胃肠外科医生查阅已发表的证据，以确定可接受的质量指标和缺乏充分证据的指标。
结果
KSCP在以下6个类别中推荐了筛查结肠镜检查质量控制的最佳标准清单：结肠镜检查医师的培训与能力、操作质量、设施与设备、性能指标和可审计结果、设备消毒以及患者的镇静与恢复。
结论
KSCP建议进行CRC筛查的内镜检查科室在日常实践中评估6项关键性能指标。
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