Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea
نویسندگان
چکیده
BACKGROUND/AIMS This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. METHODS All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. RESULTS The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with. CONCLUSIONS Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.
منابع مشابه
How Can We Propagate the National Endoscopy Quality Improvement Program and Improve the Quality of Endoscopic Screening?
The National Cancer Screening Program (NCSP) has been provided since 1999 in Korea and the annual surveys for National Cancer Screening showed gradual increase in both the lifetime screening rates and screening rates with recommendation of gastric and colorectal cancers. 1 In addition to the nationwide propagation of the screening program, the improvement in the endoscopic quality is critical t...
متن کاملHow to measure endoscopy unit performance: some metrics for dummies.
As the diagnostic and therapeutic indications for endoscopy continue to expand, the demand for these procedures has steadily increased. This demand has been compounded by increases in the number of patients with access to care as well as an aging and enlarging population. These developments have led to significant challenges regarding endoscopic access, often due to limitations in physical spac...
متن کاملAdverse Events by Sedation Type in Gastrointestinal Endoscopy
Due to its early onset of action, short half-life, and short recovery period, in recent years, propofol has been increasingly used for sedation during endoscopic procedures. Although it is generally associated with good hemodynamic stability, dose-dependent respiratory depression and a decrease in the blood pressure and heart rates can occur. An impaired cardiac function has been reported to po...
متن کاملCurrent Cytology Practices in Korea: A Nationwide Survey by the Korean Society for Cytopathology
BACKGROUND Limited data are available on the current status of cytology practices in Korea. This nationwide study presents Korean cytology statistics from 2015. METHODS A nationwide survey was conducted in 2016 as a part of the mandatory quality-control program by the Korean Society for Cytopathology. The questionnaire was sent to 208 medical institutions performing cytopathologic examination...
متن کاملChanging Trends in the Korean Youth Unemployment Crisis: 2004 â 2011
Koreaâs youth unemployment problem has continued to worsen since 2004. According to an E24, J64, an analysis of raw data from Statistics Koreaâs Economically Active Population Survey and Supplementary Results of the Economically Active Population Survey on Youths to confirm whether youth unemployment affects all youths, more youths were delaying graduation or taking leaves of absence due t...
متن کامل