EVALUATION OF INTRAPROCEDURE QUALITY INDICATORS IN ESOPHAGOGASTRODUODENOSCOPY IN FEDERAL UNIVERSITY OF PELOTAS HOSPITAL SCHOOL
Abstract
Aim: to evaluate the quality of the esophagogastroduodenoscopy offered at Pelotas Federal University Hospital School, focusing on intraprocedure quality indicators.
Material and Methods: A cross-sectional study was carried out, with a retrospective analysis of the reports of all esophagogastroduodenoscopies performed between March and December 2020.
Results: 793 reports were analyzed, 59.3% of the sample were female patients. The median age was 59 years. The overall rate of complete exams was 96.4%. Regarding the diagnoses, among patients with Barrett's esophagus, 58.3% had the measures adequately described. 91.7% underwent biopsies from the area of the suspected metaplastic epithelium, esophageal varices were present in 6.8% of the exams. The prevalence of erosive esophagitis was 20.7%. The prevalence of hiatal hernia was 14.9%, and out of them, 56.5% had its measurement adequately described. The prevalence of neoplasms in the reports was 3.7%. Peptic ulcers in 7.4% and in 93% of the cases at least one of the following characteristics was adequately described: active bleeding, visible non-bleeding vessel, adhered clot, hematin remains or clean base; which allows use of the Forrest classification.
Conclusion: I is important to evaluate the quality of the service to carry out specific planning to improve the points to be corrected. In addition, it is essential to highlight the indicators that surpassed the recommended targets, which should be treated as achievements of the endoscopy team, serving as a motivation for the professionals seeking correction of the identified flaws, aiming to reach an even higher level of excellence in patient care.
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References
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