Sikorski J M, Mander J M
Health Trends. 1984 May;16(2):30-3.
Problem Oriented Summary, Audit, Discharge (POSAD) is presented as a system which permits auditing of in-patient admissions. It is prospective, comprehensive, simple to operate and generates an immediate discharge summary. it has replaced the conventional hospital discharge summary and therefore does not increase secretarial or medical workload. It can be run either as a paper-based system or computerized. The work profile and quality control information that has resulted from the 1982 auditing of the Hollywood Orthopaedic Service is presented. This service involves eight consultant orthopaedic staff who dealt with 2,322 hospital patient admissions in that year. Auditing/peer review has shown up wide variations in surgical behaviour and the workload undertaken by individuals. The information that has been produced has enabled the surgeons of this service to put into effect three significant innovations. These are: (a) Regular analysis of complications. (b) Rank ordering (comparison) of individual surgeons. (c) Ready access to current statistics.
问题导向总结、审核、出院（POSAD）是一种用于审核住院患者入院情况的系统。它具有前瞻性、全面性、操作简便，能即时生成出院小结。它已取代了传统的医院出院小结，因此不会增加秘书或医疗人员的工作量。它既可以作为纸质系统运行，也可以计算机化运行。文中展示了1982年对好莱坞骨科服务进行审核所产生的工作概况和质量控制信息。该服务涉及八名骨科顾问医生，他们在那一年处理了2322例医院患者入院情况。审核/同行评审显示，手术行为和个人承担的工作量存在很大差异。所产生的信息使该服务的外科医生能够实施三项重大创新。这些创新是：（a）定期分析并发症。（b）对个体外科医生进行排名排序（比较）。（c）随时获取当前统计数据。
