Sheldon M G
J R Coll Gen Pract. 1979 Dec;29(209):703-6, 710-1.
General practitioners' prescribing habits were studied using encounter forms during a period of three years. Analysis of the first year's forms revealed examples of inappropriate prescribing, so an audit was undertaken on the treatment of fungal skin infections and coughs and colds in children. Data collection was continued for a further year to measure any changes in prescribing. Analysis after audit showed that more appropriate prescribing had reduced the number of drugs prescribed as well as the number of repeat consultations needed before resolution of the problem. These findings suggest that the continuous use of encounter forms can accurately reveal the prescribing habits of general practitioners. Self-audit can then be performed on a continuing basis with little disruption of the general practitioner's normal routine.
在三年期间,通过诊疗记录表格对全科医生的开药习惯进行了研究。对第一年表格的分析揭示了不适当开药的例子,因此针对儿童真菌性皮肤感染以及咳嗽和感冒的治疗进行了一次审核。数据收集又持续了一年,以衡量开药方面的任何变化。审核后的分析表明,更合理的开药减少了所开药物的数量以及问题解决前所需的复诊次数。这些发现表明,持续使用诊疗记录表格能够准确揭示全科医生的开药习惯。然后可以在几乎不干扰全科医生正常工作流程的情况下持续进行自我审核。