消化内镜中心的环境与布局专家共识建议(2023年,北京)

Consensus opinion on the environment and layout of the digestive endoscopy center

目的制订消化内镜中心环境与布局专家共识,按照"功能明确、数量匹配、安全规范、布局合理"的原则进行整体设计、区域划分,配置各类医疗设备、防护设备、消防设施等;规避感控风险,提高运行安全性及患者就诊满意度。方法成立编写小组,根据国内外有关指南及共识以及对中国知网、PubMed、Embase等多个数据库进行文献检索,并对其进行筛选、阅读及证据等级划分,形成专家共识的初稿,通过2轮专家论证会议展开探讨、研究,结合专家意见,对各条目进行调整、修改,最终形成共识。结果最终共识将消化内镜中心划分为:预约候诊区、诊疗区、清洗消毒区、复苏区、办公生活区、医疗辅助区六大功能区域。内容覆盖消化内镜中心相关各功能区域的布局及环境要求等标准或规范,以及如何做好消化内镜中心的相关医护工作。结论该共识条目简单明了、易执行,新增内容能够在一定程度上补充和完善现有的规范及标准,对新建、改建、扩建工作需求的内镜诊疗中心提供参考标准,指导临床实践。

Objective Objective To develop expert consensus on the environment and layout of digestive endoscopy center.The overall layout,area partition and the configuration of medical equipment,protective equipment and fire facilities were designed according to the principle of"definite function,matched quantity,safe specification,reasonable layout".To avoid the risk of infection control and improve operation safety and patient satisfaction.Method A compilation team was established to conduct article search on several databases such as China National Knowledge Infrastructure(CNKI)according to relevant domestic and foreign guidelines and consensus to screen and grade evidence.The preliminary draft of the consensus was completed,and was discussed through two rounds of expert demonstration meetings to carry out adjustment and modification before the consensus was developed.Result The consensus suggest the digestive endoscopy center consist six functional area:appointment waiting area,diagnosis and treatment area,cleaning and disinfection area,resuscitation area,office and public living area and medical auxiliary area.The contents cover the layout and environmental requirements and standards of the relevant functional areas of the digestive endoscopy center,as well as how to do a good job in the relevant medical care of the digestive endoscopy center.Conclusion The consensus item is simple,clear and easy to implement.The new content can complement and improve the existing norms and standards to a certain extent.It can provide reference standards for new,rebuilt and expanded endoscopic diagnosis and treatment centers and guide clinical practice.