Andersen K V, Hermann N, Gjørup T
Department of Gynaecology and Obstetrics, Glostrup Hospital, Copenhagen.
Dan Med Bull. 1992 Apr;39(2):197-9.
Perinatal audit is a method widely used for quality assurance in medicine. In clinical medicine, experiments have revealed that physicians' prior knowledge and expectations may bias their assessments. This study examined whether experts in perinatal audit were biased in their evaluation of perinatal and neonatal care when they had knowledge of the outcome. A panel of experts evaluated the quality of care in 48 infants who died in the neonatal period and 48 paired infants who survived it. The 48 pairs were randomly allocated to two groups. In the first group, the outcome of neonatal death or neonatal survival appeared in the case histories, whereas in the second group the outcome was blind. There were no differences in the assessment of quality of antenatal, delivery, and neonatal care comparing the result of the evaluation between the cases with knowledge of the outcome and the cases without knowledge of outcome. Our results indicate that the experts were not biased by the knowledge of outcome when they assessed the quality of peri- and neonatal care.
围产期审计是医学领域广泛用于质量保证的一种方法。在临床医学中，实验表明医生的先验知识和期望可能会影响他们的评估。本研究调查了围产期审计专家在知晓结果的情况下，对围产期和新生儿护理的评估是否存在偏差。一个专家小组对48例新生儿期死亡的婴儿和48例配对存活的婴儿的护理质量进行了评估。这48对婴儿被随机分为两组。在第一组中，新生儿死亡或存活的结果出现在病历中，而在第二组中，结果是未知的。比较知晓结果的病例和不知晓结果的病例的评估结果，产前、分娩和新生儿护理质量的评估没有差异。我们的结果表明，专家在评估围产期和新生儿护理质量时，并未受到结果知晓情况的影响。
