Clark M R, MacIntyre K A
Can Med Assoc J. 1978 Jan 21;118(2):131-8.
Patient care appraisal is a process whereby physicians set down criteria and standards of patient care, prepare a summary of relevant health care activities derived from medical records and other sources of data, analyse the shortcomings discovered and design remedial programs. An attempt was made to introduce such a peer review system to 19 community hospitals in the Maritime provinces as a mechanism to improve the quality of health care. Maximum use was made of all existing quality assurance methods, complemented by innovations compatible with known educational and psychological principles. The staffs of the hospitals were willing to participate but problems were encountered in maintaining their motivation. Much of the success was related to the appropriate use of interested and competent medical record librarians in the retrieval, compilation and display of information. A positive attitude towards peer reviews and peer learning evolved in the participants. It is recommended that practising physicians, health care institutions and university divisions of continuing medical education continue and extend such cooperation and find new ways to apply the peer review mechanisms.
患者护理评估是一个过程，在此过程中医生制定患者护理的标准和规范，整理从病历及其他数据来源得出的相关医疗活动总结，分析发现的不足之处并设计补救方案。有人试图在沿海省份的19家社区医院引入这样一个同行评审系统，作为提高医疗质量的一种机制。充分利用了所有现有的质量保证方法，并辅以符合已知教育和心理原则的创新方法。医院工作人员愿意参与，但在维持他们的积极性方面遇到了问题。成功很大程度上与在信息检索、汇编和展示中恰当地利用感兴趣且称职的病历管理员有关。参与者对同行评审和同行学习形成了积极的态度。建议执业医生、医疗机构和大学继续医学教育部门继续并扩大这种合作，并找到应用同行评审机制的新方法。
