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Quality assurance for gastrointestinal endoscopy

机译：胃肠内窥镜检查的质量保证

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PURPOSE OF REVIEW: This review concerns quality assurance for gastrointestinal endoscopic procedures, especially colonoscopy and will emphasize research and guidelines published since January 2011. Important articles from previous years have been included for background. RECENT FINDINGS: Critical lapses in endoscope processing and administration of intravenous sedation alerted us to the infection risk of endoscopy. Increases in cost of colonoscopy, evidence for overuse and studies demonstrating missed cancers have led some to question the value of endoscopy. Despite these setbacks, the National Polyp Study (NPS) consortium published their long-term follow-up of the original NPS patients and confirmed that colonoscopy with polyp removal can reduce the risk of colorectal cancer for an extended period. In this article, we will focus on ways to improve the value of outpatient colonoscopy. SUMMARY: The United States national quality improvement agenda recently became organized into a more coordinated effort spearheaded by several public and private entities. They comprise the infrastructure by which performance measures are developed and implemented as accountability standards. Understanding wherein a gastroenterology (GI) practice fits into this infrastructure and learning ways we can improve our endoscopic practice is important for physicians who provide this vital service to patients. This article will provide a roadmap for developing a quality assurance program for endoscopic practice.
机译：审查目的：本综述涉及胃肠内镜内窥镜手术，特别是结肠镜检查的质量保证，并将强调自2011年1月以来发表的研究和指导方针。往年的重要条款已被列入背景。最近的发现：内窥镜处理和静脉内镇静施用的关键失误通过内窥镜检查的感染风险提醒我们。结肠镜检查的成本增加，过度使用的证据和展示错过的癌症的研究已经导致一些质疑内窥镜检查的价值。尽管有这些挫折，但国家息肉研究（NPS）财团发表了其原始NPS患者的长期随访，并证实了息肉中的结肠镜检查可以降低延长的结肠直肠癌的风险。在本文中，我们将专注于提高门诊结肠镜检查的价值。摘要：美国国家质量改善议程最近成为由几个公共和私人实体刺激的更加协调的努力。它们包括基础设施，通过该基础设施是开发和实施作为问责制标准的基础设施。理解，其中胃肠学（GI）实践适合这一基础设施和学习方式，我们可以提高我们的内窥镜实践对于为患者提供这项重要服务的医生来说是重要的。本文将提供用于开发内窥镜实践质量保证计划的路线图。

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