Norman L A
West J Med. 1988 Aug;149(2):230-3.
The application of medical quality assurance principles to ambulatory patient care using the traditional methods of medical chart audit, process review, and physician education has yielded generally disappointing results in improving patient care and physician performance. Newer methods assist physicians by providing patient and medical reference data at the time of a patient's visit. Techniques for tracking treatment outcomes and patients' test results and for providing instructions to patients may improve both care and patients' and physicians' satisfaction. This feature appears regularly in THE WESTERN JOURNAL OF MEDICINE. It is intended to cover recent developments in a broad range of issues that will have an impact-either directly or indirectly-on clinical practice. Occasionally the seminars may include informed speculation about likely future developments.
将医疗质量保证原则应用于门诊患者护理，采用传统的病历审核、流程审查和医生教育方法，在改善患者护理和医生表现方面总体上取得了令人失望的结果。更新的方法通过在患者就诊时提供患者和医学参考数据来帮助医生。跟踪治疗结果和患者检查结果以及向患者提供指导的技术可能会提高护理质量以及患者和医生的满意度。这一专题定期出现在《西方医学杂志》上。它旨在涵盖广泛问题的最新进展，这些问题将直接或间接地影响临床实践。研讨会偶尔可能包括对未来可能发展的有根据的推测。
