McColl I, Fernow L C, Mackie C, Rendall M
Lancet. 1976 Jun 19;1(7973):1341-4. doi: 10.1016/s0140-6736(76)92670-2.
Advances in the practice of medicine over the past forty years have rendered informal communication ineffective in setting and maintaining standards of clinical care. In the past five years, four methods in communication have been introduced in the department of surgery at Guy's Hospital: problem-oriented medical records, death-and-complications meetings, unit review meetings, and a clinical information service. It is suggested that these can achieve quality control.
在过去四十年里，医学实践的进步使得非正式沟通在设定和维持临床护理标准方面变得无效。在过去五年里，盖伊医院外科引入了四种沟通方法：以问题为导向的病历、死亡与并发症会议、科室评审会议以及临床信息服务。有人认为这些方法能够实现质量控制。
