Birch N C, Powles D P, Dorrell J H
Lister Hospital, Stevenage, Herts.
Ann R Coll Surg Engl. 1993 Nov;75(6):422-5.
A prospective study in a single orthopaedic unit for one calendar year was carried out to examine the effect of continuing audit on arthroscopic practice. A standard proforma was introduced to record information and results were analysed using a system of audit codes. Two audit periods were examined, the first 3 months and the subsequent 9 months. Results after audit of the first period were compared with the second period; diagnostic accuracy and clarity had improved as had the accuracy of audit coding. The subset of patients with a preoperative diagnosis of a meniscal tear was analysed and the diagnostic accuracy for this group improved over the year. We found that the Audit Circle had been closed in the areas of diagnostic clarity, diagnostic accuracy of meniscal tears and the accuracy of audit coding.
在一个骨科单元进行了为期一整个日历年的前瞻性研究，以检验持续审计对关节镜手术操作的影响。引入了一份标准表格来记录信息，并使用审计编码系统对结果进行分析。研究考察了两个审计阶段，第一个3个月和随后的9个月。将第一阶段审计后的结果与第二阶段进行比较；诊断准确性和清晰度有所提高，审计编码的准确性也有所提高。对术前诊断为半月板撕裂的患者子集进行了分析，该组的诊断准确性在这一年中有所提高。我们发现，在诊断清晰度、半月板撕裂的诊断准确性和审计编码准确性方面，审计循环已经完成。
