Pfeil S A
Department of Medicine, Ohio State University School of Medicine, Columbus.
Gastrointest Endosc Clin N Am. 1994 Jul;4(3):541-50.
In summary, the endoscopy report is the permanent documentation and communication of the endoscopic procedure. The computerized endoscopy report system has, of necessity, improved our standardization of terminology and report content. Computerization of the endoscopy report has opened the door to easier auditing and quality review, as well as easier tracking and recall for research and teaching purposes. Nonetheless, the components of the endoscopy report have not changed. As with all communication, our goal should be clear, accurate, and concise expression.
总之,内镜检查报告是内镜操作的永久性记录和交流方式。计算机化的内镜检查报告系统必然提高了我们术语和报告内容的标准化程度。内镜检查报告的计算机化开启了更便捷的审核和质量评估之门,也便于为研究和教学目的进行追踪和检索。尽管如此,内镜检查报告的组成部分并未改变。与所有交流一样,我们的目标应该是清晰、准确且简洁地表达。