Wolff A M
Wimmera Base Hospital, Horsham, Vic.
Med J Aust. 1992 Apr 6;156(7):449-52.
To determine whether adverse occurrence screening of inpatient discharge summaries by means of a limited number of criteria can provide an effective medical quality control system without requiring substantial additional resources.
The medical records department used 14 criteria to screen all inpatient discharge summaries shortly after discharge. Summaries that met particular criteria were sent for medical review. If an adverse patient event was found, appropriate action was determined by a committee of four doctors.
200 bed base hospital in country Victoria.
All inpatients discharged over a two year period.
The incidence of negative patient outcomes and the cost of resources required to conduct the program.
A reduction in the incidence of some negative patient outcomes was achieved and the nature of postgraduate education meetings was changed. Minimal additional resources were required to run the program.
Limited adverse occurrence screening has provided a simple, inexpensive and effective medical quality control system in a medium-sized hospital.
确定通过有限数量的标准对住院患者出院小结进行不良事件筛查，能否在不要求大量额外资源的情况下提供有效的医疗质量控制系统。
病历科在出院后不久使用14条标准对所有住院患者出院小结进行筛查。符合特定标准的小结被送去进行医学审查。如果发现患者发生不良事件，则由四名医生组成的委员会确定适当的行动。
维多利亚州乡村地区一家拥有200张床位的医院。
两年期间所有出院的住院患者。
患者不良结局的发生率以及开展该项目所需的资源成本。
实现了某些患者不良结局发生率的降低，并且研究生教育会议的性质发生了改变。开展该项目所需的额外资源极少。
有限的不良事件筛查在一家中型医院中提供了一个简单、廉价且有效的医疗质量控制系统。
