Buss Imogen, Gould Laura
North Bristol NHS Trust.
BMJ Qual Improv Rep. 2015 Oct 22;4(1). doi: 10.1136/bmjquality.u203922.w1739. eCollection 2015.
Ensuring the safety of patients is a vital duty of a doctor. It is their responsibility to advise patients about activity limitations on discharge from hospital. This study aims to assess the current provision of driving advice for patients after abdominal surgery and institute improvements to this provision of information in North Bristol NHS Trust. A preliminary questionnaire ascertained current doctor's knowledge regarding limitations of driving postoperatively and whether information was communicated to patients. Baseline retrospective data were collected from electronic discharge summaries to determine documentation of advice provision. Educational interventions were introduced, followed by data collection after each intervention. Initial questionnaires demonstrated poor knowledge amongst doctors and a lack of provision of driving advice postoperatively. After multiple educational interventions, the provision of driving advice on electronic discharge summaries increased from 0% (0) at baseline to 75% (9). Initially, the provision of driving advice postoperatively was poorly documented for inpatients undergoing abdominal surgery; following multiple educational interventions, the provision of written advice improved. Future plans include the introduction of prewritten sentences onto the electronic discharge summaries to facilitate ease of information provision and a reaudit in 12 months.
确保患者安全是医生的一项重要职责。医生有责任就患者出院后的活动限制向其提供建议。本研究旨在评估北布里斯托尔国民保健服务信托基金目前为腹部手术后患者提供驾驶建议的情况，并对这一信息提供方式进行改进。一份初步调查问卷确定了医生目前关于术后驾驶限制的知识，以及是否向患者传达了相关信息。从电子出院小结中收集基线回顾性数据，以确定建议提供的记录情况。引入了教育干预措施，然后在每次干预后进行数据收集。初始调查问卷显示医生的相关知识匮乏，且术后缺乏驾驶建议的提供。经过多次教育干预后，电子出院小结上驾驶建议的提供率从基线时的0%（0）提高到了75%（9）。最初，接受腹部手术的住院患者术后驾驶建议的记录情况很差；经过多次教育干预后，书面建议的提供情况有所改善。未来计划包括在电子出院小结上引入预先编写的句子，以方便信息提供，并在12个月后进行重新审核。
