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韩国内镜医师对内镜不良事件的认知和体验。

The Awareness and Experience About Endoscopic Adverse Events Among South Korean Endoscopists.

机构信息

Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang Unversity, Guri, Republic of Korea.

Department of Internal Medicine, Digestive Disease Center, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Republic of Korea.

出版信息

Turk J Gastroenterol. 2023 Sep;34(9):932-942. doi: 10.5152/tjg.2023.22256.

Abstract

BACKGROUND/AIMS: The number of endoscopic procedures and related adverse events is increasing. We investigated South Korean endoscopists' awareness and experience of endoscopic adverse events.

MATERIALS AND METHODS

We used Google Forms to conduct an online questionnaire survey among South Korean endoscopists from December 11 to 29, 2020. The survey comprised 30 questions developed by members of the Quality Management Committee of the Korean Society of Gastrointestinal Endoscopy.

RESULTS

In total, 475 endoscopists participated in the survey. Of these, 454 (95.6%) were board-certified gastroenterologists and 255 (53.7%) had >10 years of endoscopy experience. Most participants had experienced serious adverse events requiring hospitalization (80.4%, 382/475); however, only 100 (21.1%) were aware of programs for the prevention and management of adverse endoscopic events in their affiliated endoscopy centers. Most participants (98.5%, 468/475) agreed with the need for education on medical accidents for healthcare workers. Responses were inconsistent regarding the definition of adverse events formulated by the 2010 American Society for Gastrointestinal Endoscopy Workshop. Most participants were not aware of the minimal standard terminology (76.6%, 364/475) and had not used it when writing endoscopy reports (88.8%, 422/475). Responses were inconsistent regarding which events to record in endoscopy records.

CONCLUSION

Further discussion on the nationwide adverse-event reporting system and education program for adverse events related to endoscopy is needed to ensure the safety of patients and endoscopists.

摘要

背景/目的:内镜检查的数量和相关不良事件不断增加。本研究旨在调查韩国内镜医生对内镜不良事件的认知和经验。

材料和方法

我们于 2020 年 12 月 11 日至 29 日使用 Google 表单对韩国内镜医生进行了在线问卷调查。该问卷由韩国胃肠内镜学会质量管理委员会成员制定,共 30 个问题。

结果

共有 475 名内镜医生参与了此次调查。其中,454 名(95.6%)为经委员会认证的消化内科医生,255 名(53.7%)具有 10 年以上的内镜经验。大多数参与者经历过需要住院治疗的严重不良事件(80.4%,382/475);然而,仅有 100 名(21.1%)了解所在内镜中心预防和管理不良内镜事件的相关方案。98.5%(468/475)的参与者认为有必要为医护人员提供医疗事故相关教育。对于 2010 年美国胃肠内镜学会研讨会制定的不良事件定义,大多数参与者的意见并不一致。大多数参与者不了解最小标准术语(76.6%,364/475),并且在书写内镜报告时并未使用(88.8%,422/475)。对于哪些事件应记录在内镜记录中,参与者的意见也不一致。

结论

需要进一步讨论全国范围内的不良事件报告系统和内镜相关不良事件教育计划,以确保患者和内镜医生的安全。

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