Society of Interventional Radiology clinical practice guidelines.
Society of Interventional Radiology clinical practice guidelines.
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DOI：
10.1097/01.rvi.0000094584.83406.3e
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发表时间：
2003-09
期刊：
影响因子：
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通讯作者：
D. Sacks;Tricia E McClenny;J. Cardella;C. Lewis
中科院分区：
文献类型：
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作者：
D. Sacks;Tricia E McClenny;J. Cardella;C. Lewis
介入放射学会（SIR）的主要目标是确保血管和介入放射学的高质量结局和患者安全。十多年来，SIR通过其标准部，通过制定循证标准和临床实践指南，成功实施微创导管介入放射手术，在提高医疗保健质量方面发挥了领导作用。标准部主要关注两个相互关联的过程：制定一个具有临床实践指南的质量改进计划，以及制定介入技术和器械的报告标准，以确保介入放射学实践中使用的器械安全、适当地应用于患者，并确保患者及时获得重要的新技术进步。此外，该部门还编写并参与了资格认证标准，以确保从业人员接受了适当的培训，以执行诊断和介入手术。SIR标准实践委员会负责第一个过程，为临床实践制定协会的质量改进指南。这些文件包含SIR质量保证过程的核心，一组指标阈值。结果指标包括有效性（成功）、适应症和并发症发生率。介入放射学实践使用这些指标阈值定期检查其结果，并在每月的质量保证会议上这样做。第二个主要过程是由SIR技术评估委员会制定的报告标准的产生。这些文件是行业和美国食品药品监督管理局（FDA）在上市前试验和开发期间评估新器械的重要指导方针。例如，学会已经发布了一个评估新型血管内器械的模板。该模板被工业界用于设计标准化、简化的协议（1）。SIR报告标准还有助于促进文献中统一和改进的数据分析。这些文献的广泛使用提高了比较和评估不同文献中器械和技术的能力。缺乏标准化的数据分析一直是出版文献的一个主要问题。SIR质量改进和标准化计划于1988年启动，
A primary goal of the Society of Inter-ventional Radiology (SIR) is ensuringhigh quality outcomes and patientsafety in vascular and interventionalradiology. For more than a decade,SIR, through its Standards Division,has taken a leadership role in improv-ing health care quality through the de-velopment of evidence-based stan-dards and clinical practice guidelinesfor the successful performance of min-imally invasive catheter-based inter-ventional radiologic procedures. Thissupplement serves as a compilation ofthe Division’s published work to date.The Standards Division has primar-ily focused on two linked processes:developing a quality improvementprogram with clinical practice guide-lines and developing reporting stan-dards for interventional techniquesand devices to ensure that devicesused in the practice of interventionalradiology are applied safely and ap-propriately to patients and that pa-tients have timely access to importantnew technological advances. In addi-tion, the Division has written and con-tributed to credentialing standards toensure that practitioners are appropri-ately trained to perform diagnosticand interventional procedures.The SIR Standards of Practice Com-mittee is responsible for the first pro-cess, developing the Society’s qualityimprovement guidelines for clinicalpractice. These documents contain thecore of the SIR Quality ImprovementProcess, a set of indicator thresholds.The indicators for outcomes are effec-tiveness (success), indications, andcomplication rates. Interventional ra-diology practices use these indicatorthresholds to examine their outcomeson a regular basis and are encouragedto do so at monthly Quality Assurancemeetings.The second major process is thegeneration of reporting standards,which are developed by the SIR Tech-nology Assessment Committee. Thesedocuments serve as important guide-lines for industry and the U.S. Foodand Drug Administration (FDA) in theevaluation of new devices during pre-market trials and development. Forexample, the Society has published atemplate for evaluation of new endo-vascular devices. This template is usedby industry to design standardized,streamlined protocols (1). SIR Report-ing Standards also serve to promoteuniform and improved data analysisin the literature. Broad use of thesedocuments improves the ability tocompare and assess devices and tech-niques from article to article. Lack ofstandardized data analysis has previ-ously been a major problem with thepublished literature.The SIR quality improvement andstandards program was launched in1988 with the development of “