Yoong A, Simpson N, Hudson C, Chard T
Joint Academic Unit of Reproductive Physiology, Obstetrics and Gynaecology, St Bartholomew's Hospital, West Smithfield, London, UK.
Qual Assur Health Care. 1993 Jun;5(2):119-22. doi: 10.1093/intqhc/5.2.119.
Previous audit at the Homerton Hospital had revealed a poor level of compliance with established antenatal protocols mandated by risk factors detected at the booking visit. Medical staff were questioned as to their awareness of five of the most important protocols and their response was analysed by a new scoring system. The scores were generally low though consultants scored more highly than junior staff. Scores were related to the length of obstetric experience and duration of work in the obstetric unit but were not related to frequency of the use of the protocol manual nor to the last time that reference was made to the manual. To improve compliance within the unit, the following recommendations were made: (1) regular revision of protocols to incorporate the current views of senior clinicians and (2) improved dissemination of information. The scoring system described here should prove to be a simple and effective method for the assessment of protocols within any unit.
霍默顿医院先前的审计显示，对于在初次产检时检测到的风险因素所规定的既定产前方案，其依从性水平较差。就医护人员对五项最重要方案的知晓情况进行了询问，并通过一种新的评分系统对他们的回答进行了分析。尽管顾问医生的得分高于初级医护人员，但总体得分普遍较低。得分与产科工作经验时长以及在产科病房的工作时长有关，但与方案手册的使用频率以及上次查阅手册的时间无关。为提高该科室的依从性，提出了以下建议：（1）定期修订方案以纳入资深临床医生的当前观点；（2）加强信息传播。此处描述的评分系统应被证明是评估任何科室方案的一种简单有效的方法。
