Subbe Christian P, Ward D, Latip L, Le Jeune I, Bell D
Bangor University School of Medical Sciences, Ysbyty Gwynedd, Penrhosgarnedd, LL57 2PW Bangor, UK.
Acute Med. 2013;12(2):69-73.
The absence of published data for benchmarking serves as a disincentive for Acute Medical Units to improve care.
To test feasibility of a national audit in Acute Medicine for compliance with common standards.
On line questionnaire with summary data for patients admitted to participating Acute Medicine Units over a 24-hour-period.
30 units submitted summary data. The mean number of admission was 36 (SD 14). Compliance with standards around timing of junior and senior review was highly variable. In almost all other standards only a small number of units achieved high reliability with compliance of more than 90%.
SAMBA provides a data set that can be used for local and national benchmarking and quality improvement work. Annual audit might be beneficial to track improvements.
缺乏用于基准比较的已发表数据不利于急性医疗单元改善护理。
测试针对急性医学进行全国性审核以符合通用标准的可行性。
采用在线问卷，收集参与的急性医学单元在24小时内收治患者的汇总数据。
30个单元提交了汇总数据。平均入院人数为36人（标准差14）。 junior和senior审查时间方面的标准合规情况差异很大。在几乎所有其他标准中，只有少数单元实现了超过90%的高合规可靠性。
SAMBA提供了一个可用于地方和全国基准比较及质量改进工作的数据集。年度审核可能有助于追踪改进情况。 （注：文中“junior”和“senior”在医学语境中可能有特定含义，但因原文未明确，暂按字面翻译）
