Anderson C M, Chambers S, Clamp M, Dunn I A, McGhee M F, Sumner K R, Wood A M
Health Centre, Radcliffe-on-Trent, Nottingham.
BMJ. 1988 Jul 9;297(6641):113-4. doi: 10.1136/bmj.297.6641.113.
A survey of monitoring of digoxin treatment in five practices examined the indications for prescribing digoxin, its long term use, and how its use could be monitored. These data were used to generate a protocol for monitoring treatment with digoxin in general practice. The findings of the survey and the protocol were distributed to and discussed with all the partners in the practices participating in the study. One year later similar analysis showed that record keeping (recording of pulse rate and rhythm) had improved significantly in the group of principals carrying out the audit but not in other principals in these practices. Audit may change only the auditors.
一项针对五项医疗业务中地高辛治疗监测情况的调查，考察了地高辛的处方指征、长期使用情况以及其使用的监测方式。这些数据被用于制定一份在全科医疗中监测地高辛治疗的方案。该调查结果及方案被分发给参与研究的各医疗业务中的所有合伙人并进行了讨论。一年后，类似分析表明，在进行审核的负责人组中，记录保存（脉搏率和节律的记录）有显著改善，但在这些医疗业务中的其他负责人组中则没有。审核可能只会改变进行审核的人。
