Evidence-Based Medicine
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2019; 25(8): 1024-1030
Published online Feb 28, 2019. doi: 10.3748/wjg.v25.i8.1024
Establishing a model to measure and predict the quality of gastrointestinal endoscopy
Luo-Wei Wang, Han Lin, Lei Xin, Wei Qian, Tian-Jiao Wang, Jian-Zhong Zhang, Qian-Qian Meng, Bo Tian, Xu-Dong Ma, Zhao-Shen Li
Luo-Wei Wang, Han Lin, Lei Xin, Wei Qian, Tian-Jiao Wang, Qian-Qian Meng, Zhao-Shen Li, Digestive Endoscopy Center, Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Jian-Zhong Zhang, Unimed Scientific Inc., Wuxi 214000, Jiangsu Province, China
Bo Tian, Department of Intensive Care Unit, Shanghai East Hospital, Tongji University, Shanghai 200120, China
Xu-Dong Ma, Department of Medical Quality, Medical and Health Administration, National Health Commission of China, Beijing 100044, China
Author contributions: Li ZS and Ma XD designed and supervised the study equally; Wang LW, Lin H and Xin L contributed equally, conducted this survey and wrote the manuscript; Qian W, Wang TJ, Zhang JZ, and Tian B collected and analyzed the data.
Conflict-of-interest statement: There are no conflicts of interest arising from this work.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist and checked the manuscript accordingly.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhao-Shen Li, MD, Attending Doctor, Digestive Endoscopy Center, Department of Gastroenterology, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai 200433, China. lizhaoshenmd@163.com
Telephone: +86-21-31161347 Fax: +86-21-55621735
Received: December 11, 2018
Peer-review started: December 11, 2018
First decision: January 6, 2019
Revised: January 15, 2019
Accepted: January 28, 2019
Article in press: January 28, 2019
Published online: February 28, 2019
Processing time: 78 Days and 2.2 Hours
Core Tip

Core tip: Tens of millions of gastrointestinal endoscopic procedures are performed each year in China, but there is significant variation in the quality of endoscopy, and the method of measuring quality remains unknown. We collected data from the National Database of Digestive Endoscopy of China to establish a model to measure and predict the quality of gastrointestinal endoscopy in mainland China. The length of endoscopy experience, weekly working hours, weekly night shifts, annual vacation days and job satisfaction were predictors of medical malpractice and patient disturbance. The length of experience and endoscopist/nurse ratio were not adequate to establish a model for the prediction of endoscopic complications.