...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Digestive Diseases and Sciences >Quality Improvement in Gastroenterology: A Systematic Review of Practical Interventions for Clinicians
【24h】

Quality Improvement in Gastroenterology: A Systematic Review of Practical Interventions for Clinicians

机译：胃肠学的质量改善：对临床医生的实际干预措施进行系统审查

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Quality improvement (QI) identifies practical methods to improve patient care; however, it is not always widely known which QI methods are successful. We sought to create a primer of QI in gastroenterology for the practicing clinician.MethodsWe performed a systematic review of QI literature in gastroenterology. We included search terms for inflammatory bowel disease, irritable bowel syndrome, celiac disease, gastroesophageal reflux disease, pancreatitis, liver disease, colorectal cancer screening, endoscopy, and gastrointestinal bleeding. We used general search terms for QI as well as specific terms to capture established quality metrics for each GI disease area.ResultsWe found 33 studies that met our definitions for QI. There were 17 studies of endoscopy including screening colonoscopy, six on liver disease, four on IBD, two on GERD, three on GI bleeding, and one on celiac disease. Education was the most common intervention, although most successful studies combined education with another intervention. Other effective interventions included retraining sessions to reach ADR goals in colonoscopy, nursing protocols to increase HCC screening, and EMR decision support tools to prompt reassessment of PPI therapy. Many studies showed improved compliance to metrics, but few were able to show differences in length of stay, readmissions, or mortality.ConclusionsOur review of quality improvement literature in gastroenterology revealed common themes of successful programs: Education was frequently used but often insufficient, the EMR may be underutilized in guiding decision making, and patient-reported outcomes were infrequently assessed. Further research may be needed to compare QI strategies directly.
机译：背景质量改进（QI）识别改善患者护理的实用方法;但是，并不总是众所周知的QI方法成功。我们试图为练习诊所的胃肠学中创造Qi的底漆。近奇地区对胃肠学中的QI文献进行了系统综述。我们包括炎症性肠病的搜索条件，肠易肠综合征，乳糜泻，胃食管反流疾病，胰腺炎，肝病，结直肠癌筛查，内窥镜检查和胃肠道出血。我们使用了QI的一般搜索条件以及针对每种GI疾病地区捕获建立质量指标的特定搜索条件。培训术中发现了33项研究，以满足QI的定义。有17项内窥镜检查的研究，包括筛查结肠镜检查，六位在肝病上，IBD上的四个，两个在GERD上，胃肠杆菌三，并在腹菌疾病中。教育是最常见的干预措施，尽管最成功的研究与另一种干预措施联合教育。其他有效的干预措施包括再培训会议，以达到结肠镜检查的ADR目标，护理协议增加HCC筛选，以及EMR决策支持工具，以迅速重新评估PPI治疗。许多研究表明，改进遵守的指标，但很少能够显示在逗留，再入院，或质量改进文学mortality.ConclusionsOur审查的长度差异肠胃病透露成功的项目共同的主题：教育是经常使用，但往往不够，EMR可以在指导决策中未充分利用，患者报告的结果不经常评估。可能需要进一步研究以直接比较QI战略。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号