The endoscopy Global Rating Scale-Canada: development and implementation of a quality improvement tool.

IF 2.7 4区医学 Q2 Medicine

Canadian Journal of Gastroenterology Pub Date : 2013-02-01 DOI:10.1155/2013/165804

Donald MacIntosh, Catherine Dubé, Roger Hollingworth, Sander Veldhuyzen van Zanten, Sandra Daniels, George Ghattas

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引用次数: 0

Abstract

Background: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality highlight the need for endoscopy facilities to review the quality of the service they offer.

Objective: To adapt the United Kingdom Global Rating Scale (UK-GRS) to develop a web-based and patient-centred tool to assess and improve the quality of endoscopy services provided.

Methods: Based on feedback from 22 sites across Canada that completed the UK endoscopy GRS, and integrating results of the Canadian consensus on safety and quality indicators in endoscopy and other Canadian consensus reports, a working group of endoscopists experienced with the GRS developed the GRS-Canada (GRS-C).

Results: The GRS-C mirrors the two dimensions (clinical quality and quality of the patient experience) and 12 patient-centred items of the UK-GRS, but was modified to apply to Canadian health care infrastructure, language and current practice. Each item is assessed by a yes⁄no response to eight to 12 statements that are divided into levels graded D (basic) through A (advanced). A core team consisting of a booking clerk, charge nurse and the physician responsible for the unit is recommended to complete the GRS-C twice yearly.

Conclusion: The GRS-C is intended to improve endoscopic services in Canada by providing endoscopy units with a straightforward process to review the quality of the service they provide.

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加拿大内镜检查全球评分量表：质量改进工具的开发与实施。

背景：胃肠道内窥镜检查（尤其是大肠癌筛查）的使用量不断增加，对医疗质量的重视程度也日益提高，这突出表明有必要对内窥镜检查机构提供的服务质量进行审查：胃肠道内窥镜检查（尤其是结直肠癌筛查）的使用率不断增加，人们对医疗质量的重视程度不断提高，这突出表明内窥镜检查机构有必要对其提供的服务质量进行审查：改编英国全球评分量表（UK-GRS），开发一种基于网络、以患者为中心的工具，用于评估和提高内镜检查服务的质量：方法：根据加拿大22个完成英国内镜全球评分量表的医疗机构的反馈意见，并综合加拿大内镜检查安全和质量指标共识及其他加拿大共识报告的结果，一个由具有全球评分量表经验的内镜医师组成的工作组开发了加拿大全球评分量表（GRS-C）：结果：GRS-C 反映了英国 GRS 的两个维度（临床质量和患者体验质量）和 12 个以患者为中心的项目，但根据加拿大医疗保健基础设施、语言和当前实践进行了修改。每个项目通过对 8 到 12 个陈述的 "是 "或 "否 "回答进行评估，这些陈述分为 D 级（基础）到 A 级（高级）。建议由一名登记员、主管护士和负责该科室的医生组成一个核心小组，每年完成两次 GRS-C：结论：GRS-C 的目的是通过为内窥镜检查单位提供一个直接的流程来审查其所提供服务的质量，从而改善加拿大的内窥镜服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Gastroenterology 医学-胃肠肝病学

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Canadian Journal of Gastroenterology and Hepatology is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in all areas of gastroenterology and liver disease - medicine and surgery. The Canadian Journal of Gastroenterology and Hepatology is sponsored by the Canadian Association of Gastroenterology and the Canadian Association for the Study of the Liver.