欧洲睡眠中心认证标准(2)

http://www.100md.com 2018年3月1日 《世界睡眠医学杂志》 20183

     The status of accredited SMCs does not preclude the existence of other clinical facilities with more limited capabilities in the diagnosis of specific sleep disorders.However，such facilities are not eligible for accreditation as an SMC according to the present guidelines.

    The accreditation process examines and certifies the staff and facilities of the laboratory that constitute the SMC.The process quality and outcome quality of the results are checked and ensured by other measures，which will be subject to the discussion and eventual publication of a separate guideline.

    Table 1Minimum montage for standard sleep

    medicine polysomnography2 EEG (e.g.C3A2，C4A1)2 EOG1mentalis/submentalis EMG SaO2Snoring signal Body position sensorNasal pressure/flow signal (thermistors are no longer acceptable as a single recording method in adults)Validated method of respiratory effort2 EMG，tibialis anterior ECG，one channelVideo monitoring with possibility of recording

    Accreditation of an SMC is achieved by a twostep process： firstly a questionnaire is completed，and then a site inspection visit is conducted by a panel of independent specialists experienced in sleep medicine.

    These guidelines set out the requirements of the accreditation procedure and the assessment criteria used.The local National Sleep Society (NSS) is entitled to set an administrative fee，charged for the costs with respect to the application process and the site inspection visit.

    An accredited SMC must have the diagnostic measures available to diagnose common sleep disorders (see Table 1 in the Accreditation Questionnaire)，in accordance with ICSD2 (Sateia，2005).However，it should also be noted that accredited SMCs are not required to be able to manage the entire spectrum of sleep disorders.The SMC should be able to demonstrate appropriate referral routines.

    It is envisaged that this document will be reviewed，and where necessary revised，4 years after publication.

    STAFF，FACILITIES，EQUIPMENT，AND STRUCTURAL REQUIREMENTS FOR A SLEEP MEDICINE CENTRE

    Management and medical staff

    The head of the SMC should have a permanent position at the institution in order to ensure continuity of medical care for patients with sleep disorders.

    An SMC must have a responsible physician (MD) who can demonstrate comprehensive knowledge of the diagnostic spectrum of sleep disorders.

    To be eligible for accreditation by the NSS，the applicant must be a member of the NSS and have，or will obtain，a National Board Certification of Sleep Medicine，if available.1(学会指导委员会)

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