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病历提示可提高耳鼻喉平衡诊所头晕和驾驶对话的频率和记录。

Medical record prompts improve the frequency and documentation of dizziness and driving conversations in the ENT balance clinic.

机构信息

Vestibular Neurophysiotherapy, Mersey Care NHS Foundation Trust, Southport, UK.

ENT, Liverpool Teaching Hospitals NHS Foundation Trust, Liverpool, UK.

出版信息

J Laryngol Otol. 2024 Jun;138(S2):S51-S55. doi: 10.1017/S0022215123002104. Epub 2024 May 23.

Abstract

BACKGROUND

Driving capacity is affected by vestibular disorders and the medications used to treat them. Driving is not considered during medical consultations, with 92 per cent of patients attending a centre for dizziness not discussing it with the doctor.

OBJECTIVE

To investigate if medical record prompts facilitate dizziness and driving conversations in ENT balance clinics.

METHODS

A questionnaire was designed to reflect the current standards of practice and advice given regarding driving and dizziness during balance clinic consultations.

RESULTS

Medical record prompts facilitated the improved frequency and recording of shared decision-making conversations about driving and dizziness in 98 per cent of consultations.

CONCLUSION

This study highlights the benefits of medical record prompts for documented and accurate shared decision-making conversations surrounding dizziness, vertigo, vestibular conditions and driving. This potentially improves safety for all road users, and protects the patient and clinician in the event of road traffic accidents and medico-legal investigations.

摘要

背景

驾驶能力受前庭障碍和用于治疗这些障碍的药物影响。在医疗咨询中不考虑驾驶问题,92%的眩晕中心患者在就诊时不会与医生讨论这个问题。

目的

研究耳鼻喉平衡诊所中的医疗记录提示是否能促进头晕和驾驶相关的讨论。

方法

设计了一份调查问卷,以反映当前平衡诊所就诊期间关于驾驶和头晕的实践标准和建议。

结果

医疗记录提示使 98%的就诊中改善了关于驾驶和头晕的共享决策对话的频率和记录。

结论

本研究强调了医疗记录提示对于头晕、眩晕、前庭疾病和驾驶相关的共享决策对话的记录和准确性的益处。这可以提高所有道路使用者的安全性,并在道路交通事故和医疗法律调查中保护患者和临床医生。

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