Kerawala C J, Campbell A
Department of Oral and Maxillofacial Surgery, Middlesbrough General Hospital, Middlesbrough, UK.
Br J Oral Maxillofac Surg. 2000 Oct;38(5):543-5. doi: 10.1054/bjom.2000.0460.
In 1998, the British Association of Head and Neck Oncologists (BAHNO) published a report entitled 'Provision and quality assurance for head and neck cancer care in the United Kingdom. A nationally co-ordinated multidisciplinary approach'. This document considered, amongst other issues, operational policies for patient care. We audited three aspects of the care of 73 patients with head and neck cancer from initial referral to definitive treatment against standards set out in this report.Fifty-nine patients (81%) were seen within two weeks of initial referral, the maximum interval proposed by the BAHNO report. In 41 patients (56%), the diagnosis was confirmed and their treatment plan determined within the further two-week period suggested in the report. Of the 25 patients who required adjuvant radiotherapy, only 11 (44%) began treatment within six weeks of their surgical phase; this represented the greatest variance from the BAHNO recommendations. These findings highlight the need for units active in the treatment of specific diseases to audit their activity against available minimum standards in an attempt to improve the quality of patient care.
1998年，英国头颈肿瘤学家协会（BAHNO）发表了一份题为《英国头颈癌护理的提供与质量保证：全国协调的多学科方法》的报告。该文件除其他问题外，还考虑了患者护理的操作政策。我们对照该报告中规定的标准，对73名头颈癌患者从初次转诊到最终治疗的护理的三个方面进行了审核。59名患者（81%）在初次转诊后的两周内就诊，这是BAHNO报告建议的最长间隔时间。在41名患者（56%）中，诊断在报告建议的另外两周内得到确认，并且他们的治疗计划得以确定。在25名需要辅助放疗的患者中，只有11名（44%）在手术阶段后的六周内开始治疗；这与BAHNO的建议差异最大。这些发现凸显了积极治疗特定疾病的科室对照现有最低标准审核其活动的必要性，以努力提高患者护理质量。
