Morton R J
Accident and Emergency, Yorkshire Regional Health Authority.
Injury. 1988 Mar;19(2):77-8. doi: 10.1016/0020-1383(88)90076-9.
An audit was carried out on 250 patients who attended an acute orthopaedic clinic following referral from the Accident and Emergency Department. Of the patients 17.2 per cent had an incorrect diagnosis made, and 12 per cent of the patients had been incorrectly treated. Of all plaster splints 49.4 per cent were removed, and 25.4 per cent were substantially altered by the orthopaedic staff. Six per cent of patients were admitted from the clinic. The implications of these results on the need for audit and direct feedback in order to improve the quality of care and efficient use of resources are discussed.
对250名从急诊部转诊至急性骨科诊所的患者进行了一次审计。在这些患者中，17.2%的患者被误诊，12%的患者接受了不当治疗。在所有石膏夹板中，49.4%被拆除，25.4%被骨科工作人员大幅改动。6%的患者从诊所入院。讨论了这些结果对为提高护理质量和资源有效利用而进行审计和直接反馈的必要性的影响。
