Quality indicators for esophagogastroduodenoscopy: A comparative study of outcomes after an improvement programme in a tertiary hospital. / Indicadores de calidad en la esofagogastroduodenoscopia: estudio comparativo de los resultados tras un programa de mejora en un hospital terciario.
Gastroenterol Hepatol
; 40(9): 587-594, 2017 Nov.
Article
en En, Es
| MEDLINE
| ID: mdl-28648767
ABSTRACT
INTRODUCTION:
There is an opportunity for improvement in the recording and measuring of quality indicators. However, no previous experiences exist in our field in terms of their compliance in esophagogastroduodenoscopy (EGD).OBJECTIVE:
To analyse compliance with EGD quality criteria and evaluate improvement after conducting a training programme. PATIENTS ANDMETHODS:
Comparative study of 2 cohorts one retrospective (control group) and one prospective (intervention group), before and after a training programme consisting of an information session and the report writing improvement programme. The quality indicators proposed by the American Society for Gastrointestinal Endoscopy and the American College of Gastroenterology were used.RESULTS:
A total of 1,200 EGDs were included in a sequential manner (600 in each group). Following the training programme, a significant improvement was observed in the following indicators documented indication (93 vs. 99.8%; P<0.01), documented full examinations (94.7 vs. 97.3%; P<0.01), correct performance (63.7 vs. 87.9%; P<0.01), appropriate biopsies according to protocols (57.9 vs. 83.8%; P<0.01), photo-documentation of described lesions (84.1 vs. 94.9%; P<0.01), photo-documentation per segment (52.9 vs. 70.5%; P<0.01) and correct overall assessment (56,9 vs. 90.5%; P<0.01). Biopsies for coeliac disease, documented indication, full examination and correct performance, if it went ahead, exceeded the recommended standard.CONCLUSION:
A very simple training programme improves EGD quality indicators, with the majority reaching the standards recommended by the American Society for Gastrointestinal Endoscopy and the American College of Gastroenterology.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Endoscopía del Sistema Digestivo
/
Indicadores de Calidad de la Atención de Salud
Tipo de estudio:
Evaluation_studies
/
Observational_studies
Aspecto:
Implementation_research
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
/
Es
Revista:
Gastroenterol Hepatol
Año:
2017
Tipo del documento:
Article