{"id":2645,"date":"2020-01-06T16:50:11","date_gmt":"2020-01-06T16:50:11","guid":{"rendered":"\/?p=2645"},"modified":"2020-01-06T16:50:11","modified_gmt":"2020-01-06T16:50:11","slug":"ensuring-endoscopy-is-not-left-behind","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sq_al\/ensuring-endoscopy-is-not-left-behind\/","title":{"rendered":"Sigurimi q\u00eb endoskopia nuk \u00ebsht\u00eb l\u00ebn\u00eb pas"},"content":{"rendered":"

Drejtori Mjek\u00ebsor i NHS n\u00eb Angli ka v\u00ebn\u00eb dor\u00ebn p\u00ebr ofruesit e sh\u00ebndet\u00ebsis\u00eb p\u00ebr t\u00eb arritur rezultate shum\u00eb m\u00eb t\u00eb mira t\u00eb kancerit. \u00cbsht\u00eb vendosur nj\u00eb objektiv p\u00ebr 99 p\u00ebr qind t\u00eb pacient\u00ebve q\u00eb presin m\u00eb pak se gjasht\u00eb jav\u00eb midis referimit p\u00ebr testim diagnostik dhe testimit q\u00eb po kryhet.<\/p>\n

Si e fundit\n\n Projektet e Politikave Publike\n<\/a>\nRaporti (PPP):\n\n Duke par\u00eb brenda: gjendjen e endoskopis\u00eb n\u00eb Angli,\n<\/em>\nka zbuluar, k\u00ebto synime t\u00eb admirueshme nuk do t\u00eb jen\u00eb t\u00eb arritshme n\u00ebse kapaciteti i NHS p\u00ebr ofrimin e endoskopis\u00eb nuk vendoset n\u00eb nj\u00eb baz\u00eb m\u00eb t\u00eb sigurt. Fatkeq\u00ebsisht, ky nuk \u00ebsht\u00eb aktualisht rasti p\u00ebr trustet e spitaleve n\u00eb t\u00eb gjith\u00eb Anglin\u00eb. Raporti zbuloi se 41 p\u00ebrqind e trusteve operojn\u00eb me komplete endoskopie q\u00eb i afrohen ose tejkalojn\u00eb jet\u00ebgjat\u00ebsin\u00eb e rekomanduar dhjet\u00ebvje\u00e7are t\u00eb prodhuesit.<\/p>\n

R\u00ebnd\u00ebsia e k\u00ebtij diskutimi \u00ebsht\u00eb shtuar m\u00eb tej nga raporti i fundit i profesor Sir Mike Richard, ish-Drejtor Komb\u00ebtar i Kancerit p\u00ebr NHS Angli, me titull:\n\n Rishikimi i pavarur i programeve t\u00eb shqyrtimit t\u00eb t\u00eb rriturve n\u00eb Angli.\n<\/em>\n\u00cbsht\u00eb e qart\u00eb se aft\u00ebsia p\u00ebr t\u00eb p\u00ebrdorur opsione t\u00eb shumta p\u00ebr t\u00eb nxitur marrjen e programeve t\u00eb shqyrtimit nuk ka qen\u00eb kurr\u00eb m\u00eb e r\u00ebnd\u00ebsishme.<\/p>\n

Raporti i PPP, i botuar n\u00eb partneritet me Vanguard Healthcare Solutions, e trajtoi k\u00ebt\u00eb tem\u00eb n\u00eb nj\u00eb tryez\u00eb t\u00eb gjall\u00eb t\u00eb k\u00ebtij viti.\n\n IHEEM\n<\/a>\nKonferenca e pasurive t\u00eb kujdesit sh\u00ebndet\u00ebsor. T\u00eb pranish\u00ebm ishin disa menaxher\u00eb pronash dhe objektesh, s\u00eb bashku me inxhinier\u00eb autorizues dhe drejtime klinike p\u00ebr dekontaminimin dhe endoskopin\u00eb nga trustet e NHS n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar. Diskutimi siguroi nj\u00eb forum t\u00ebrheq\u00ebs ku k\u00ebta udh\u00ebheq\u00ebs t\u00eb lart\u00eb t\u00eb mendimit fol\u00ebn rreth asaj se p\u00ebrse p\u00ebrkeq\u00ebsimi i objekteve endoskopike \u00ebsht\u00eb lejuar t\u00eb shfaqet kaq r\u00ebnd\u00eb n\u00eb t\u00eb gjith\u00eb NHS.\n\"\"<\/p>\n

\n \n Jet\u00ebgjat\u00ebsia\n <\/strong>\n<\/h4>\n

Sipas raportit t\u00eb PPP, 25 p\u00ebr qind e suitave t\u00eb dekontaminimit q\u00eb p\u00ebrdoren aktualisht n\u00eb t\u00eb gjith\u00eb Anglin\u00eb jan\u00eb mbi 10 vje\u00e7 dhe 15 p\u00ebr qind e spitaleve nuk i kan\u00eb p\u00ebrmir\u00ebsuar suitat e tyre n\u00eb tet\u00eb vitet e fundit. N\u00eb kontekstin e rritjes s\u00eb k\u00ebrkes\u00ebs p\u00ebr ofrimin e endoskopis\u00eb, ekziston qart\u00eb nevoja p\u00ebr nj\u00eb shqyrtim m\u00eb t\u00eb madh t\u00eb m\u00ebnyr\u00ebs se si e p\u00ebrcaktojm\u00eb sakt\u00ebsisht ciklin jet\u00ebsor t\u00eb nj\u00eb grupi endoskopie. Kjo pik\u00eb doli t\u00eb ishte nj\u00eb shtyt\u00ebs kryesor i diskutimit.<\/p>\n

"K\u00ebrkesa p\u00ebr sh\u00ebrbimet e endoskopis\u00eb po shkon vet\u00ebm n\u00eb nj\u00eb drejtim," tha David Cole, CEO i Vanguard Healthcare Solutions. Si kryesues i diskutimit, David ishte i prirur t\u00eb hetonte pjes\u00ebmarr\u00ebsit e sektorit publik mbi tem\u00ebn e cikleve jet\u00ebsore t\u00eb endoskopis\u00eb. Davidi shtroi pyetjen: "Duke marr\u00eb parasysh k\u00ebt\u00eb rritje t\u00eb pashmangshme t\u00eb aktivitetit, si matet jet\u00ebgjat\u00ebsia aktuale e pajisjeve endoskopike?"<\/p>\n

Konsensusi p\u00ebr takimin ishte q\u00eb ciklet e jet\u00ebs s\u00eb nj\u00ebsis\u00eb endoskopike bazohen n\u00eb nj\u00eb periudh\u00eb kohore p\u00ebr t\u00eb cil\u00ebn pajisja \u00ebsht\u00eb n\u00eb sh\u00ebrbim aktiv dhe jo sipas numrit t\u00eb cikleve operacionale. Duke marr\u00eb parasysh rritjen e k\u00ebrkes\u00ebs, thjesht matja e ciklit t\u00eb jet\u00ebs n\u00eb terma vitesh nuk \u00ebsht\u00eb m\u00eb e mjaftueshme p\u00ebr t\u00eb siguruar q\u00eb pajisjet mund t\u00eb arrijn\u00eb standardet minimale t\u00eb dekontaminimit n\u00eb baza t\u00eb q\u00ebndrueshme \u00e7do dit\u00eb.<\/p>\n

P\u00ebr m\u00eb tep\u00ebr, matja e ciklit jet\u00ebsor t\u00eb endoskopis\u00eb n\u00eb vitet aktive nuk merr parasysh kostot e p\u00ebrshkall\u00ebzuara t\u00eb mir\u00ebmbajtjes, t\u00eb cilat jan\u00eb nj\u00eb pasoj\u00eb e pashmangshme e p\u00ebrdorimit n\u00eb rritje. Kapaciteti i integruar p\u00ebr mir\u00ebmbajtje \u00ebsht\u00eb nj\u00eb luks q\u00eb pak besime mund ta p\u00ebrballojn\u00eb n\u00eb dit\u00ebt e sotme dhe p\u00ebr k\u00ebt\u00eb arsye, nj\u00eb ndikim n\u00eb nivelet e aktivitetit operacional \u00ebsht\u00eb i pashmangsh\u00ebm.<\/p>\n

"Gj\u00ebja kryesore \u00ebsht\u00eb se si ne rrisim kapacitetin ekzistues t\u00eb pasurive."\n\n Alex Chilvers, Drejtor Menaxhues n\u00eb Mb\u00ebshtetjen 18 Javore\n<\/cite>\n"Sigurisht, p\u00ebrdorimi n\u00eb rritje do t\u00eb ket\u00eb nj\u00eb efekt t\u00eb d\u00ebmsh\u00ebm n\u00eb jet\u00ebgjat\u00ebsin\u00eb e pajisjeve," tha Alex Chilvers, Drejtor Menaxhues n\u00eb 18 Week Support, nj\u00eb organizat\u00eb e p\u00ebrkushtuar p\u00ebr t\u00eb ndihmuar besimet n\u00eb menaxhimin e referimit n\u00eb rrug\u00ebt dhe objektivat e trajtimit. Alex k\u00ebmb\u00ebnguli se, n\u00eb kontekstin e munges\u00ebs s\u00eb financimit kapital p\u00ebr p\u00ebrmir\u00ebsimet afatgjata t\u00eb paket\u00ebs s\u00eb endoskopis\u00eb, "gj\u00ebja kryesore \u00ebsht\u00eb se si ne rrisim kapacitetin ekzistues t\u00eb pron\u00ebs".<\/p>\n

Dikush mund t\u00eb shikoj\u00eb n\u00eb industri t\u00eb tjera p\u00ebr shembuj se si t\u00eb monitorohet jet\u00ebgjat\u00ebsia e pajisjeve endoskopike. N\u00eb t\u00eb v\u00ebrtet\u00eb, kjo \u00ebsht\u00eb nj\u00eb pik\u00eb q\u00eb Rosemary Jenssen, arkitekte e kujdesit sh\u00ebndet\u00ebsor, ishte e etur p\u00ebr ta b\u00ebr\u00eb. \u201cMakinat kan\u00eb intervale inteligjente servisimi bazuar n\u00eb aktivitetin e tyre, nd\u00ebrsa nj\u00ebsit\u00eb e endoskopis\u00eb duket se monitorohen n\u00eb baz\u00eb t\u00eb numrit t\u00eb viteve q\u00eb kan\u00eb qen\u00eb aktive\u201d, tha Rosemary. "N\u00ebse monitorimi yn\u00eb i ciklit do t\u00eb bazohej n\u00eb p\u00ebrdorimin m\u00eb t\u00eb drejtp\u00ebrdrejt\u00eb t\u00eb pajisjeve, at\u00ebher\u00eb do t\u00eb kishit mund\u00ebsi shum\u00eb m\u00eb t\u00eb mira t\u00eb planifikimit p\u00ebrpara p\u00ebr t\u00eb ofruar informacion se kur t\u00eb z\u00ebvend\u00ebsoni pajisjet e mbip\u00ebrdorura."<\/p>\n

Kur pajisjet fillojn\u00eb t\u00eb d\u00ebshtojn\u00eb, \u00ebsht\u00eb tep\u00ebr von\u00eb dhe k\u00ebshtu, si\u00e7 vuri n\u00eb dukje me zgjuarsi Rosemary, NHS duhet t\u00eb p\u00ebrpiqet t\u00eb p\u00ebrshtat\u00eb monitorimin e ciklit t\u00eb saj n\u00eb nj\u00eb qasje m\u00eb t\u00eb p\u00ebrqendruar te aktiviteti. Rozmarina nuk ishte e vetmja q\u00eb e theksoi k\u00ebt\u00eb. Cliff Howell, ish-drejtor dhe drejtues operacional p\u00ebr pronat dhe objektet e NHS, Divizioni i Efi\u00e7enc\u00ebs dhe Produktivitetit n\u00eb NHS Improvement, vuri n\u00eb dukje n\u00eb terma t\u00eb hapur: "Ne duhet t\u00eb kalojm\u00eb n\u00eb nj\u00eb qasje t\u00eb bazuar n\u00eb prova n\u00eb vend q\u00eb thjesht t\u00eb lexojm\u00eb at\u00eb q\u00eb thot\u00eb manuali i riparimit."<\/p>\n

\n \n Menaxhimi i rrezikut apo menaxhimi i parave?\n <\/strong>\n<\/h4>\n

N\u00ebse menaxher\u00ebt e objekteve nga t\u00eb gjith\u00eb trustet e NHS pranojn\u00eb kufizime n\u00eb m\u00ebnyr\u00ebn se si monitorohet infrastruktura kritike brenda jet\u00ebgjat\u00ebsis\u00eb s\u00eb paket\u00ebs s\u00eb endoskopis\u00eb, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb dihet se \u00e7far\u00eb e shtyn nj\u00eb besim t\u00eb z\u00ebvend\u00ebsoj\u00eb, ose t\u00eb pakt\u00ebn t\u00eb shtoj\u00eb, pajisjet ekzistuese.<\/p>\n

P\u00ebrgjigjet e shpejta nuk vinin, pasi menaxher\u00ebt e objekteve cituan menj\u00ebher\u00eb shqet\u00ebsime m\u00eb t\u00eb gjera rreth t\u00eb menduarit k\u00ebtu dhe tani, gj\u00eb q\u00eb shpesh e pengon NHS t\u00eb marr\u00eb vendime afatgjata d\u00ebshp\u00ebrimisht t\u00eb nevojshme n\u00eb lidhje me pasurin\u00eb e saj. Nj\u00eb delegat shkoi aq larg sa tha se NHS vuan nga nj\u00eb "sindrom\u00eb e planifikimit afatshkurt\u00ebr" kur b\u00ebhet fjal\u00eb p\u00ebr p\u00ebrdorimin e pasurive.<\/p>\n

N\u00eb fund t\u00eb fundit, nd\u00ebrsa trustet duan t\u00eb p\u00ebrqendrojn\u00eb vendimet rreth p\u00ebrdit\u00ebsimit t\u00eb pajisjeve endoskopike, menaxher\u00ebt e objekteve zakonisht kufizohen nga e nj\u00ebjta \u00e7\u00ebshtje - kostoja. \u00c7\u00ebshtja e shpenzimeve kapitale dhe efekti i d\u00ebmsh\u00ebm i saj n\u00eb kujdesin ndaj pacient\u00ebve sigurisht q\u00eb \u00ebsht\u00eb v\u00ebn\u00eb n\u00eb krye t\u00eb diskutimeve p\u00ebr p\u00ebrmir\u00ebsimin e kujdesit sh\u00ebndet\u00ebsor. Kufizimet financiare ende diktojn\u00eb nj\u00eb pjes\u00eb t\u00eb madhe t\u00eb vendimmarrjes s\u00eb p\u00ebrditshme p\u00ebr menaxher\u00ebt e pronave dhe objekteve. P\u00ebr shum\u00eb njer\u00ebz, ende gjith\u00e7ka ka t\u00eb b\u00ebj\u00eb me parat\u00eb.<\/p>\n

Cilat jan\u00eb shkaqet q\u00eb nj\u00eb besim t\u00eb rishikoj\u00eb dhe t\u00eb p\u00ebrmir\u00ebsoj\u00eb potencialisht objektet e tij endoskopike? Cili \u00ebsht\u00eb rreziku i korporat\u00ebs kundrejt atij individual? \u00c7far\u00eb masash mund t\u00eb marr\u00eb nj\u00eb besim p\u00ebr t\u00eb rritur nd\u00ebrgjegj\u00ebsimin p\u00ebr pajisjet endoskopike t\u00eb vjetruara? K\u00ebto jan\u00eb llojet e pyetjeve q\u00eb menaxher\u00ebt e objekteve n\u00eb t\u00eb gjith\u00eb NHS duhet t\u00eb marrin n\u00eb konsiderat\u00eb, por her\u00eb pas here vendimet e tyre bazohen n\u00eb shum\u00eb p\u00ebrpar\u00ebsi konkurruese.\n\"\"<\/p>\n

\n \n Di\u00e7ka duhet dh\u00ebn\u00eb\n <\/strong>\n<\/h4>\n

P\u00ebr t\u00eb nxitur nj\u00eb mjedis m\u00eb proaktiv n\u00eb t\u00eb cilin vendimet bazohen n\u00eb sigurin\u00eb e pacientit, \u00ebsht\u00eb thelb\u00ebsore q\u00eb t\u00eb ndodh\u00eb fluksi i kapitalit direkt n\u00eb objektet e sh\u00ebrbimit t\u00eb endoskopis\u00eb. D\u00ebshtimet aktuale p\u00ebr t\u00eb siguruar mb\u00ebshtetjen financiare p\u00ebr endoskopin\u00eb zbulojn\u00eb nj\u00eb shk\u00ebputje midis d\u00ebshir\u00ebs n\u00eb nivel t\u00eb politik\u00ebs komb\u00ebtare p\u00ebr t\u00eb adresuar objektivat e depistimit t\u00eb kancerit dhe pajisjeve q\u00eb shpesh mund t\u00eb rezultojn\u00eb jetike p\u00ebr p\u00ebrmbushjen e k\u00ebtyre objektivave.<\/p>\n

"N\u00eb m\u00ebnyr\u00eb t\u00eb ngjashme me z\u00ebvend\u00ebsimin e pajisjeve t\u00eb imazhit dhe LINAC, shpesh ka iniciativa dhe fonde t\u00eb nivelit komb\u00ebtar p\u00ebr t\u00eb z\u00ebvend\u00ebsuar pajisjet e vjetra dhe t\u00eb vjetruara," tha Cliff, i cili sugjeroi q\u00eb kjo politik\u00eb duhet t\u00eb zgjerohet p\u00ebr t\u00eb p\u00ebrfshir\u00eb pajisjet e sh\u00ebrbimeve endoskopike.<\/p>\n

Pavar\u00ebsisht nga nj\u00eb pamje m\u00eb pak se e qart\u00eb e shpenzimeve kapitale, ka opsione t\u00eb disponueshme p\u00ebr trustet p\u00ebr t'u siguruar q\u00eb ato t\u00eb mir\u00ebmbajn\u00eb pajisjet e tyre endoskopike dhe p\u00ebr k\u00ebt\u00eb arsye t\u00eb p\u00ebrmbushin objektivat e shqyrtimit t\u00eb kancerit. \u201cZ\u00ebvend\u00ebsimi i pronave t\u00eb prapambetura dhe pajisjeve n\u00eb NHS \u00ebsht\u00eb n\u00eb nivelin m\u00eb t\u00eb lart\u00eb t\u00eb t\u00eb gjitha koh\u00ebrave, nd\u00ebrsa disponueshm\u00ebria e kapitalit mbetet e kufizuar. Prandaj, nivelet e prapambetura do t\u00eb rriten ende, "tha Cliff. "Ndoshta NHS duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb sigurimin e financimit t\u00eb ciklit jet\u00ebsor p\u00ebr zhvillimet e ardhshme, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb parandaloj\u00eb nj\u00eb p\u00ebrs\u00ebritje t\u00eb s\u00eb kaluar\u00ebs."<\/p>\n

Rritja e kapacitetit ekzistues t\u00eb pasurive do t\u00eb luaj\u00eb nj\u00eb rol gjithnj\u00eb e m\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm. Raporti i profesor Richards p\u00ebr NHS England p\u00ebrmendi nj\u00ebsit\u00eb e l\u00ebvizshme si potencialisht zbut\u00ebse t\u00eb tendosjes n\u00eb sh\u00ebrbimet e endoskopis\u00eb. Kjo ka p\u00ebrfitimin e tejkalimit t\u00eb kund\u00ebrshtimeve t\u00eb cituara nga mjek\u00ebt rreth p\u00ebrdorimit t\u00eb objekteve jasht\u00eb vendit si nj\u00eb k\u00ebrc\u00ebnim p\u00ebr ofrimin e kujdesit sh\u00ebndet\u00ebsor t\u00eb bashkuar.<\/p>\n

Q\u00eb objektivat ambicioze t\u00eb kancerit t\u00eb p\u00ebrmbushen, ndryshimi do t\u00eb duhet t\u00eb vij\u00eb nga diku. Raporti i PPP zbuloi se 87 p\u00ebr qind e spitaleve q\u00eb kan\u00eb raportuar suita dekontaminimi t\u00eb vjetruara (dmth. ato q\u00eb nuk kan\u00eb par\u00eb rinovim n\u00eb tet\u00eb vitet e fundit) jan\u00eb gjithashtu pjes\u00eb e trusteve q\u00eb nuk arrit\u00ebn t\u00eb p\u00ebrmbushin objektivin e pritjes gjasht\u00eb javore p\u00ebr testimin diagnostik.<\/p>\n

"Mbret\u00ebria e Bashkuar ka disa nga standardet m\u00eb t\u00eb larta p\u00ebr dekontaminimin dhe sterilizimin e kudo n\u00eb bot\u00eb."\n\n David Cole\n<\/a>\n, CEO i Vanguard Healthcare Solutions<\/p>\n

Nj\u00ebsit\u00eb e endoskopis\u00eb n\u00ebp\u00ebr NHS kan\u00eb b\u00ebr\u00eb nj\u00eb rrug\u00eb t\u00eb gjat\u00eb nga "dollap\u00ebt e fshesave" t\u00eb p\u00ebrdorura dikur (si\u00e7 i p\u00ebrshkroi nj\u00eb delegat) te nj\u00ebsit\u00eb e m\u00ebdha, t\u00eb sofistikuara dhe t\u00eb centralizuara, por, si\u00e7 theksoi David Cole, kjo nuk duhet t\u00eb justifikoj\u00eb vet\u00ebk\u00ebnaq\u00ebsin\u00eb. "Mbret\u00ebria e Bashkuar ka disa nga standardet m\u00eb t\u00eb larta p\u00ebr dekontaminimin dhe sterilizimin e kudo n\u00eb bot\u00eb," tha David nd\u00ebrsa p\u00ebrfundoi at\u00eb q\u00eb ishte nj\u00eb diskutim t\u00ebrheq\u00ebs dhe i gjall\u00eb, "por ne nuk mund t'i lejojm\u00eb vetes t\u00eb kthejm\u00eb fjal\u00ebn prapa."<\/p>\n

Nd\u00ebrsa presim politik\u00ebb\u00ebr\u00ebsit komb\u00ebtar\u00eb q\u00eb t\u00eb drejtojn\u00eb fondet e nevojshme kapitale n\u00eb vij\u00ebn e par\u00eb t\u00eb frontit, besimet akute duhet t\u00eb sigurojn\u00eb q\u00eb objektet e sh\u00ebrbimit t\u00eb endoskopis\u00eb t\u00eb mos lihen pas dhe q\u00eb pacient\u00ebt t\u00eb mos fillojn\u00eb t\u00eb ndjejn\u00eb efekte negative.<\/p>","protected":false},"excerpt":{"rendered":"

Planet ambicioze p\u00ebr t\u00eb "riparuar" proceset e shqyrtimit t\u00eb kancerit n\u00eb t\u00eb gjith\u00eb Anglin\u00eb nuk do t\u00eb jen\u00eb t\u00eb mundshme pa i kushtuar v\u00ebmendje serioze gjendjes s\u00eb sh\u00ebrbimeve t\u00eb endoskopis\u00eb.<\/p>","protected":false},"author":1,"featured_media":1347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119,115],"tags":[131,137],"class_list":["post-2645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite"],"acf":[],"yoast_head":"\nEnsuring endoscopy is not left behind - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Ensuring endoscopy is not left behind to be able to deliver mbitious plans to “overhaul” cancer screening processes across England\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/sq_al\/ensuring-endoscopy-is-not-left-behind\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ensuring endoscopy is not left behind - 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