Glover G R
Department of Community Medicine, Charing Cross and Westminister Medical School, London, UK.
Qual Assur Health Care. 1990;2(2):181-8. doi: 10.1093/intqhc/2.2.181.
Medical audit has been slow to develop in psychiatry. While mental health services present important questions for audit, there are formidable technical problems such as standardising evaluation of the efficacy and efficiency of treatments and deciding who from the multidisciplinary team should be involved. Despite this the methods of case note review, examination of routine statistics, investigation of sentinel events, monitoring the use of compulsion and regular inspection of facilities all have an important role.
医学审计在精神病学领域的发展一直较为缓慢。虽然心理健康服务提出了重要的审计问题，但存在一些艰巨的技术难题，比如如何规范治疗效果和效率的评估，以及确定多学科团队中的哪些人员应该参与其中。尽管如此，病历审查、常规统计数据检查、哨点事件调查、强制手段使用监测以及设施定期检查等方法都发挥着重要作用。
