Reporting systems in gastrointestinal endoscopy: Requirements and standards facilitating quality improvement: European Society of Gastrointestinal Endoscopy position statement
Status PubMed-not-MEDLINE Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu časopisecké články, přehledy
PubMed
27087943
PubMed Central
PMC4804380
DOI
10.1177/2050640616629079
PII: 10.1177_2050640616629079
Knihovny.cz E-zdroje
- Klíčová slova
- Quality, colonoscopy, electronic patient files, guideline, reporting systems,
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
To develop standards for high quality of gastrointestinal endoscopy, the European Society of Gastrointestinal Endoscopy (ESGE) has established the ESGE Quality Improvement Committee. A prerequisite for quality assurance and improvement for all gastrointestinal endoscopy procedures is state-of-the-art integrated digital reporting systems for standardized documentation of the procedures. The current paper describes the ESGE's viewpoints on requirements for high-quality endoscopy reporting systems. The following recommendations are issued: Endoscopy reporting systems must be electronic.Endoscopy reporting systems should be integrated into hospital patient record systems.Endoscopy reporting systems should include patient identifiers to facilitate data linkage to other data sources.Endoscopy reporting systems shall restrict the use of free text entry to a minimum, and be based mainly on structured data entry.Separate entry of data for quality or research purposes is discouraged. Automatic data transfer for quality and research purposes must be facilitated.Double entry of data by the endoscopist or associate personnel is discouraged. Available data from outside sources (administrative or medical) must be made available automatically.Endoscopy reporting systems shall enable the inclusion of information on histopathology of detected lesions; patient's satisfaction; adverse events; surveillance recommendations.Endoscopy reporting systems must facilitate easy data retrieval at any time in a universally compatible format.Endoscopy reporting systems must include data fields for key performance indicators as defined by quality improvement committees.Endoscopy reporting systems must facilitate changes in indicators and data entry fields as required by professional organizations.
Department of Gastroenterology and Hepatology University of Amsterdam Amsterdam the Netherlands
Department of Gastroenterology Gloucestershire Royal Hospital Gloucester UK
Department of Interdisciplinary Endoscopy University Hospital Hamburg Eppendorf Germany
Department of Internal Medicine Charles University Prague Czech Republic
Department of Internal Medicine Joseph's Hospital Warendorf Germany
Department of Transplantation Medicine Oslo University Hospital Oslo Norway
Digestive Endoscopy Unit Catholic University Rome Italy
Gastroenterology Department University Hospital Leuven Leuven Belgium
Karolinska Institutet Karolinska University Hospital Stockholm Sweden
Unidad de Gastroenterologia Hospital General Universitario de Alicante Alicante Spain
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Groenen MJ, Hirs W, Becker H, et al. Gastrointestinal endoscopic terminology coding (GET-C): A WHO-approved extension of the ICD-10. Dig Dis Sci 2007; 52: 1004–1008. PubMed PMC
Delvaux M, Crespi M, Armengol-Miro JR, et al. Minimal standard terminology for digestive endoscopy: Results of prospective testing and validation in the GASTER project. Endoscopy 2000; 32: 345–355. PubMed
Aabakken L, Rembacken B, LeMoine O, et al. Minimal standard terminology for gastrointestinal endoscopy – MST 3.0. Endoscopy 2009; 41: 727–728. PubMed
Aabakken L, Barkun AN, Cotton PB, et al. Standardized endoscopic reporting. J Gastroenterol Hepatol 2014; 29: 234–240. PubMed
van Doorn SC, van Vliet J, Fockens P, et al. A novel colonoscopy reporting system enabling quality assurance. Endoscopy 2014; 46: 181–187. PubMed
Groenen MJ, Ajodhia S, Wynstra JY, et al. A cost-benefit analysis of endoscopy reporting methods: Handwritten, dictated and computerized. Endoscopy 2009; 41: 603–609. PubMed
Moorman PW, van Ginneken AM, van der Lei J, et al. The contents of free-text endoscopy reports: An inventory and evaluation by peers. Endoscopy 1994; 26: 531–538. PubMed
de Lange T, Moum BA, Tholfsen JK, et al. Standardization and quality of endoscopy text reports in ulcerative colitis. Endoscopy 2003; 35: 835–840. PubMed
Aabakken L. Quality reporting – finally achievable? Endoscopy 2014; 46: 188–189. PubMed
Hoff G, Ottestad PM, Skafløtten SR, et al. Quality assurance as an integrated part of the electronic medical record – a prototype applied for colonoscopy. Scand J Gastroenterol 2009; 44: 1259–1265. PubMed
Lieberman D, Nadel M, Smith RA, et al. Standardized colonoscopy reporting and data system: Report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointest Endosc 2007; 65: 757–766. PubMed
Gotfried J, Bernstein M, Ehrlich AC, et al. Administrative database research overestimates the rate of interval colon cancer. J Clin Gastroenterol 2015; 49: 483–490. PubMed PMC