EFFECTIVENESS OF STRICT CREDENTIALING AND PROCTORING GUIDELINES ON OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY IN A COMMUNITY-HOSPITAL

被引：4

作者：

AIRAN, MC ^{[1
]}

KO, ST ^{[1
]}

机构：

[1] CHICAGO MED SCH,DEPT SURG,CHICAGO,IL 60608

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 05期

关键词：

(LC) LAPAROSCOPIC CHOLECYSTECTOMY; (IOC) INTRAOPERATIVE CHOLANGIOGRAM; (CBD) COMMON BILE DUCT; (ERCP) ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATICOGRAM; (LOS) LENGTH OF STAY;

D O I：

10.1007/BF00642440

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Strict credentialing and proctoring guidelines were set up prior to initiating a program of laparoscopic cholecystectomy at the Good Samaritan Hospital in Downers Grove, Illinois. This is a private 386-bed community hospital. At the inception of the program, there were 15 general surgeons who were going to participate in this program. In 1992, there were 20 general surgeons performing the laparoscopic cholecystectomy (LC). The following guidelines were approved by the Credentials Committee and authorized by the Executive Committee: A. Training: A SAGES-approved or equivalent course in LC, meeting or exceeding SAGES guidelines. B. Proctoring: Proctoring of 10 LC cases, prior to operating independently. C. Prevention of injuries: Two surgeons credentialed in LC to operate as a surgeon-cosurgeon team. D. Evaluation: 100% concurrent review of all LC cases.

引用

页码：396 / 399

页数：4

共 6 条

[1]

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[2]

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[3]

Airan M., Berci G., Sackier J.M., Et al., Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons, Surg Endosc, 6, pp. 169-176, (1992)

[4]

Deziel D.J., Airan M.C., Et al., Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases, Am J Surg, 165, pp. 9-14, (1993)

[5]

Elwood P., Outcomes management: a technology of patient experience—Shatluck Lecture, N Engl J Med, 318, pp. 1549-1556, (1988)

[6]

Ko S.T., Airan M.C., Review of 300 consecutive laparoscopic cholecystectomies: development, evolution, and results, Surg Endosc, 5, pp. 103-108, (1991)

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