Przestrzelski Christopher, Jakob Antonina, Jakob Clemens, Hoffmann Felix R
Department of Traumasurgery and Orthopedics, Klinikum Bogenhausen, Munich, Germany.
Surgical Management LMU Munich University Hospital, Munich, Germany.
Front Digit Health. 2024 Apr 4;6:1249454. doi: 10.3389/fdgth.2024.1249454. eCollection 2024.
The AUDIT-algorithm is a tool to structure the data, which is collected during an emergency treatment. The goal is on the one hand to structure the documentation of the data and on the other hand to give a standardised data structure for the report during handover of an emergency patient. AUDIT-algorithm was developed to provide residents a documentation aid, which helps to structure the medical reports without getting lost in unimportant details or forgetting important information. The sequence of anamnesis, clinical examination, considering a differential diagnosis, technical diagnostics, interpretation and therapy is rather an academic classification than a description of the real workflow. In a real setting, most of these steps take place simultaneously. Therefore, the application of the AUDIT-algorithm should also be carried out according to the real processes. A big advantage of the AUDIT-algorithm is that it can be used as a structure for the entire treatment process and also is entirely usable as a handover protocol within this process to make sure, that the existing state of knowledge is ensured at each point of a team-timeout. PR-E-(AUDIT)-algorithm makes it possible to document a treatment process that, in principle, does not have to be limited to the field of emergency medicine. Also, in the outpatient treatment the PR-E-(AUDIT)-algorithm could be used and further developed. One example could be the preparation and allocation of needed resources at the general practitioner. The algorithm is a standardised tool that can be used by healthcare professionals of any level of training. It gives the user a sense of security in their daily work.
AUDIT算法是一种用于整理在急诊治疗过程中收集到的数据的工具。其目标一方面是使数据记录结构化，另一方面是为急诊患者交接报告提供标准化的数据结构。开发AUDIT算法的目的是为住院医师提供一种记录辅助工具，帮助他们整理医疗报告，避免陷入无关细节或遗漏重要信息。问诊、临床检查、考虑鉴别诊断、技术诊断、解读和治疗的顺序更多是一种学术分类，而非对实际工作流程的描述。在实际情况中，这些步骤大多是同时进行的。因此，AUDIT算法的应用也应按照实际流程来执行。AUDIT算法的一大优势在于，它既可以作为整个治疗过程的结构，也完全可以在此过程中用作交接协议，以确保在团队暂停的每个时间点，现有知识状态都能得到保障。PR-E-(AUDIT)算法使记录一个治疗过程成为可能，原则上该过程不必局限于急诊医学领域。此外，在门诊治疗中也可以使用并进一步开发PR-E-(AUDIT)算法。一个例子可能是全科医生所需资源的准备和分配。该算法是一种标准化工具，任何培训水平的医疗专业人员都可以使用。它让用户在日常工作中有安全感。
