Coleman N P, Warren P J, Greenough C G
Department of Orthopaedics, Heatherwood Hospital, Ascot, UK.
J R Coll Surg Edinb. 1991 Jun;36(3):199-201.
The completeness of data contained in a microcomputerized audit system has been compared with the operating theatre record book. The computerized audit system contained details of only 63% of the operations performed. Of the missing patients, 52% had never been completed. There were no failures of the computer system itself. Serious deficiencies in the methods of data entry were found and methods are described to overcome these deficits. The collection of audit information requires a disciplined approach and close supervision by a designated member of the surgical team.
已将微型计算机化审计系统中包含的数据完整性与手术室记录簿进行了比较。计算机化审计系统仅包含所执行手术的63%的详细信息。在缺失的患者中，52%的患者信息从未完整录入。计算机系统本身没有故障。发现数据录入方法存在严重缺陷，并描述了克服这些缺陷的方法。审计信息的收集需要一种严谨的方法，并由手术团队的指定成员进行密切监督。
