Sandbaek A, Hørder M, Munck A P
Odense Universitetshospital, Audit Projekt Odense.
Ugeskr Laeger. 1995 May 29;157(22):3198-202.
All general practitioners of the Danish counties of Funen, Vejle and North Jutland were invited to participate in a medical audit concerning laboratory medicine organised by the Audit Project Odense (APO) in co-operation with the Consultative Arrangement for General Practice, emanating from the clinical/chemical departments of Funen. During three weeks the participants registered all clinical problems which would result in one or more laboratory tests. APO performed computer registrations and analyses of the results where upon each participant received a reply letter indicating the results of his own as well as the group's registrations. At a subsequent meeting the participants discussed the conception of "good general practice" as regards the use of laboratory medicine within defined clinical problems. The course of the audit demonstrated that the APO method is suitable for identification of a number of professional problems related to general practitioners' use of laboratory medicine and to reveal the variation in general practitioners' handling of laboratory medicine. Furthermore, the project showed that continuous quality development demands profound study of and research into the professional problems which the general practitioners encounter when using laboratory medicine.
菲英岛、瓦埃勒和北日德兰丹麦郡县的所有全科医生受邀参加由奥登塞审计项目(APO)与全科医疗咨询机构合作组织的一项关于检验医学的医疗审计,该机构源自菲英岛的临床/化学科室。在三周时间里,参与者记录了所有会导致一项或多项检验的临床问题。APO进行了计算机记录和结果分析,之后每位参与者都收到一封回复信,信中说明了其个人以及该组记录的结果。在随后的一次会议上,参与者们讨论了在特定临床问题中使用检验医学方面“良好全科医疗”的概念。审计过程表明,APO方法适用于识别一些与全科医生使用检验医学相关的专业问题,并揭示全科医生在处理检验医学方面的差异。此外,该项目表明持续质量改进需要深入研究全科医生在使用检验医学时遇到的专业问题。