The University of Western Australia, Perth, Australia.
Best Pract Res Clin Obstet Gynaecol. 2010 Jun;24(3):413-25. doi: 10.1016/j.bpobgyn.2009.12.002. Epub 2010 Jan 13.
After briefly expounding the principles of an audit, this article focusses on the role of obstetric audit and how it can influence, and even shape, obstetric anaesthetic practice. The impact may be on service delivery, anaesthetic practice or the generation of new information. The relevance of maternal mortality reporting and of obstetric haemorrhage audit to anaesthetic practice is used to illustrate these concepts. Further examples include how different types of audit of pregnancy outcome, obstetric practice or areas of cross-interest to both obstetricians and anaesthetists are used by anaesthetists to evaluate health-care delivery, their own practices and to generate new audit and research agendas. Audits drive change and, hopefully, improvements that continue to make pregnancy a safer and more satisfying event for the mother and child.
本文简要阐述了审计的原则，重点介绍了产科审计的作用，以及它如何影响甚至塑造产科麻醉实践。这种影响可能体现在服务提供、麻醉实践或新信息的产生上。本文使用孕产妇死亡率报告和产科出血审计对麻醉实践的相关性来说明这些概念。进一步的例子包括，不同类型的妊娠结局、产科实践或产科医生和麻醉师共同关注的领域的审计，如何被麻醉师用于评估医疗保健的提供、他们自己的实践，并产生新的审计和研究议程。审计推动了变革，并希望能持续改进，使妊娠对母婴双方都更安全、更令人满意。
