Kipping R R, Hamilton S, Roderick M, Alexander K
South Gloucestershire PCT, Emersons Green, South Gloucestershire BS16 7FH, UK.
J Public Health (Oxf). 2006 Dec;28(4):347-50. doi: 10.1093/pubmed/fdl065. Epub 2006 Oct 25.
A mumps outbreak occurred in 2004-05 in England and Wales. The outbreak in the Avon area of England led to mass vaccination of 16- to 24-year-olds with the measles, mumps and rubella vaccine (MMR). The response to the outbreak was audited. Literature and web searches for audit standards were undertaken, and experts in the field were contacted. No comprehensive audit standards for outbreaks of communicable diseases were found. This article describes an approach to developing audit standards for outbreaks of communicable diseases.
Audit standards were developed based on the memorandum of understanding between the National Health Service (NHS) and Health Protection Agency. The audit was undertaken involving 25 staff.
The audit standards developed identified many areas for improvement including training, strategic co-ordination, inter-organizational communication, consistency and timeliness of communication. Conducting the audit was problematic because there were not pre-defined audit standards.
Audit standards should be developed, which include issues relating to the structure, process and outcome of responses to outbreaks. The development of audit standards for the management of outbreaks is crucial to evaluate outbreak control and make necessary improvements.
2004 - 2005年，英格兰和威尔士爆发了腮腺炎疫情。英格兰埃文地区的疫情导致16至24岁人群大规模接种麻疹、腮腺炎和风疹疫苗（MMR）。对此次疫情应对情况进行了审计。开展了文献和网络搜索以查找审计标准，并联系了该领域的专家。未找到针对传染病疫情的全面审计标准。本文描述了一种制定传染病疫情审计标准的方法。
基于国民医疗服务体系（NHS）与健康保护局之间的谅解备忘录制定审计标准。此次审计涉及25名工作人员。
制定的审计标准确定了许多有待改进的领域，包括培训、战略协调、组织间沟通、沟通的一致性和及时性。由于没有预先定义的审计标准，进行审计存在问题。
应制定审计标准，其中包括与疫情应对的结构、过程和结果相关的问题。制定疫情管理的审计标准对于评估疫情控制情况并做出必要改进至关重要。
