Maurice-Williams R S, Garlick R, Olsen N
Royal Free Hospital and School of Medicine, London, UK.
Br J Neurosurg. 1990;4(6):467-72. doi: 10.3109/02688699008993794.
We describe a simple technique for auditing one aspect of the activity of a neurosurgical unit--the surgical operations performed. A proforma completed by the surgeon at the time of operation was brought up-to-date on subsequent daily ward rounds. Each week, the medical staff of the unit met to review the data sheets of those patients discharged during the previous seven days. This meeting served to ensure the completeness of the data and to discuss any problems in management before the records were computerized. At the end of the first year, problems which had become apparent in the system were identified and corrected. The revised system involves a comprehensive and prospective audit of relevant clinical information. It has led to the accumulation of a considerable quantity of reliable data and it involves frequent positive feedback which appears to be leading to an improvement in treatment outcome. The system is simple to administer and is economical of time. It should be suitable for any surgical specialty which resembles neurosurgery in dealing with a relatively small volume of major procedures, and it could easily be adapted to audit other aspects of the activity of a unit.
我们描述了一种用于审核神经外科单元活动某一方面——所进行的外科手术——的简单技术。由外科医生在手术时填写的一份表格在随后的每日病房查房时更新。每周，该单元的医务人员会碰面审查前七天内出院患者的数据表。此次会议旨在确保数据的完整性，并在记录被计算机化之前讨论管理中出现的任何问题。在第一年结束时，找出并纠正了系统中明显存在的问题。修订后的系统涉及对相关临床信息进行全面且前瞻性的审核。它已积累了大量可靠数据，并且涉及频繁的积极反馈，这似乎正促使治疗结果得到改善。该系统易于管理且节省时间。它应该适用于任何在处理相对少量大型手术方面与神经外科类似的外科专业，并且可以轻松地加以调整以审核单元活动的其他方面。
