Kramer P M, Martin B A
Can J Psychiatry. 1984 Dec;29(8):648-51. doi: 10.1177/070674378402900803.
Over the past forty-five years, there has been a progressive refinement of the standards of practice of electroconvulsive therapy (ECT). The need to review contemporary practice patterns to maintain and further improve those standards is discussed. In this context, the respective roles of medical audits and surveys of practice are described and the methodology of recent surveys critically examined. A procedure for the collection of reliable and complete data on the more than 22,000 treatments administered at one psychiatric hospital is described as the essential element of both an accurate survey of practice and a clinical audit. The audit is designed to retrospectively review and prospectively monitor the practice of ECT to identify the areas of conformity with and divergence from current standards of practice. it is recommended that this kind of audit procedure be an integral part of the present day administration of ECT. It is also suggested as a paradigm for hospital practice auditing with potential application to other specific treatments.
在过去的45年里，电休克疗法（ECT）的实践标准一直在不断完善。本文讨论了回顾当代实践模式以维持并进一步提高这些标准的必要性。在此背景下，阐述了医学审计和实践调查各自的作用，并对近期调查的方法进行了批判性审视。介绍了一种收集某精神病院22000多次治疗可靠且完整数据的程序，这是准确的实践调查和临床审计的基本要素。该审计旨在回顾性审查并前瞻性监测ECT的实践，以确定与当前实践标准相符和背离的领域。建议这种审计程序应成为当今ECT管理的一个组成部分。它还被提议作为医院实践审计的范例，有可能应用于其他特定治疗。
