Tomlin P J
Anaesthesia. 1978 Sep;33(8):710-5. doi: 10.1111/j.1365-2044.1978.tb08466.x.
A 4-year audit of one Intensive Care Unit, during which time 1718 patients were admitted, shows that allocating 1% of all acute beds for intensive care purposes is not adequate. This is reflected by the high mortality among the patients discharged from the unit. Sophisticated monitoring equipment led to a marked improvement in mortality rates in each group to which it was applied. Simple to use, automated, biochemical equipment was very cost effective for blood gas measurement but less so for electrolyte determinations. Intensive care is very labour intensive, but the cost benefit in terms of lives saved is large. It is suggested that audits of this type help to identify the consequences, including adverse consequences, of decisions by administrators.
对一个重症监护病房进行的为期4年的审计显示，在该期间有1718名患者入院，将所有急性病床的1%用于重症监护目的是不够的。这体现在该病房出院患者的高死亡率上。先进的监测设备使应用该设备的每组患者的死亡率都有了显著改善。简单易用的自动化生化设备在血气测量方面性价比很高，但在电解质测定方面则不然。重症监护非常耗费人力，但就挽救的生命而言，成本效益很大。建议此类审计有助于识别管理人员决策的后果，包括不良后果。
