睡眠障碍中心的认证标准(10)

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

     FData Acquisition，Scoring and Reporting

    Standard

    F1Signals and Equipment

    The signals collected and the equipment used for comprehensive polysomnography must be in compliance with The AASM Manual for the Scoring of Sleep and Associated Events：Rules，Terminology，and Technical Specifications.

    Standard

    F2PSG Reports

    Reports of polysomnography must include all the “RECOMMENDED” parameters from section II of The AASM Manual for the Scoring of Sleep and Associated Events：Rules，Terminology，and Technical Specifications.

    Standard

    F3Conducting MSLT and MWT

    The multiple sleep latency test and maintenance of wakefulness test must be conducted using the protocol described in Box 1 and Box 2 of the “Standards of Practice Committee of the American Academy of Sleep Medicine：Practice Parameters for Clinical Use of the Multiple Sleep Latency Test and the Maintenance of Wakefulness Test”

    Standard

    F4PSG Scoring

    Each epoch of each polysomnogram must be scored for sleep staging，arousals，respiratory events and limb movement in accordance with The AASM Manual for the Scoring of Sleep and Associated Events：Rules，Terminology，and Technical Specifications.

    Standard

    F5Computerassisted Scoring

    If used，computerassisted scoring of polysomnography must be reviewed and edited for accuracy.

    Standard

    F6Interscorer Reliability

    Interscorer reliability must be determined between each scorer and a reference sleep specialist as defined in standard B4 or a corporate appointed board certified sleep specialist； such individual must be an employee of the corporation and serves as the reference sleep specialistInterscorer reliability assessment must be conducted for each sleep facilityIn cases where a corporate sleep specialist serves as the reference standard for interscorer reliability，the sleep facility′s designated board certified sleep specialist must attest in writing that he/she has reviewed the results of the interscorer reliability assessment，and will take corrective action when results fall below the sleep facility′s level of acceptable agreement as defined in its quality assurance program.

    Use of the AASM InterScorer Reliability program fulfills the requirements of this standard.

    Standard

    F7Conducting Interscorer Reliability Assessment

    For comprehensive polysomnography，the following parameters must be compared：sleep staging epochbyepoch agreement，respiratory events，leg movements and arousalsSleep technologists must be blinded to the scoring of the sleep facility designated reference specialist and to all other scoring techniciansComparisons between each scorer and the facility′s designated reference sleep specialist must be made on 200 consecutive 30second epochs in each of three polysomnograms per quarter，for a total of 12 polysomnograms per year.

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