Guidelines for equipment and support for endoscopic examinations (part one)

The guidelines describe modern approaches to equipping and ensuring endoscopic examinations of the digestive and respiratory systems in accordance with the objectives of improving their quality, safety and efficiency. The focus is on improving endoscopic diagnostics of precancerous diseases and early cancer of the gastrointestinal tract and bronchi. Based on the analysis of evidence-based medicine data, modern conditions for equipping and ensuring endoscopic examinations from the minimum necessary to the expert level are provided, including conditions for integrating digital solutions into protocols and reports, including conditions for creating databases for artificial intelligence systems, as well as conditions for ensuring epidemiological safety in endoscopy. The guidelines are based on risk-oriented approaches and serve as a basis for an objective assessment and analysis of the risks of compliance of equipment and provision in endoscopy with modern requirements for the quality and safety of medical activities. The components of equipment and provision are presented in summary tables, which in practice can serve as checklists. Each component is also an evaluation parameter and can be assessed by qualitative (present or absent) and/or quantitative (% provision) indicators. The methodological recommendations are designed in accordance with the requirements of the current GOST R 6.30-2003: “Unified documentation systems. Unified system of organizational and administrative documentation. Requirements for the execution of documents” (updated on 05/25/2017), which states that this type of methodological product, based on positive experience, reveals the order and logic of setting up any methodology. The objectives of such documents include the promotion of the most effective and rational examples of practical actions applicable to a certain type of activity, according to which the terminology, style and volume of methodological recommendations are regulated.