Nair B K, Finucane P
University Department of Geriatric Medicine, Rankin Park Hospital, Newcastle, NSW, Australia.
J Qual Clin Pract. 1994 Mar;14(1):3-7.
We describe a simple quality assurance (QA) exercise that compared the practices of two physicians providing geriatric consultations at a University teaching hospital. Two hundred consecutive referrals were randomly allocated to either physician. Although the patients referred had similar characteristics, their problems were managed differently. This led to an evaluation of work practices and identification of problems to which solutions were found. As the study was incorporated into routine clinical work, its cost in terms of resources and manpower was minimal. Such simple practical QA exercises should be used more extensively to enhance the practice of medicine.
我们描述了一项简单的质量保证（QA）活动，该活动比较了在一所大学教学医院提供老年病咨询的两位医生的诊疗行为。连续200例转诊患者被随机分配给其中一位医生。尽管转诊的患者具有相似的特征，但他们的问题处理方式却有所不同。这促使对工作方法进行评估，并找出问题及解决方案。由于该研究纳入了常规临床工作，其在资源和人力方面的成本极低。此类简单实用的质量保证活动应更广泛地用于改善医疗实践。
