Crawford V L, McPeake B, Stout R W
Department of Geriatric Medicine, Queen's University, Belfast.
Ulster Med J. 1995 Oct;64(2):131-6.
A clinical audit of ward practice for diagnosing and treating urinary tract infection was carried out to assess the impact on clinical practice four years after publication of a working protocol. Data were collected from all medical, surgical, gynaecology and geriatric wards in 25 hospitals in Northern Ireland. All wards made use of urinary dipsticks for ward testing, as recommended by the protocol. However many negative samples were still forwarded for laboratory analysis. The potential financial savings which would result from effective ward screening were not being realised and the publication appeared to have minimal impact on clinical practice. Advice on an improved diagnostic protocol for urinary tract infection may not have been disseminated to the nursing staff whose role was pivotal in the screening process.
开展了一项关于病房诊断和治疗尿路感染实践的临床审计，以评估一份工作方案发布四年后对临床实践的影响。数据收集自北爱尔兰25家医院的所有内科、外科、妇科和老年病房。按照该方案的建议，所有病房都使用尿试纸进行病房检测。然而，许多阴性样本仍被送去进行实验室分析。有效病房筛查本可带来的潜在财务节省未得到实现，而且该出版物似乎对临床实践影响甚微。关于改进尿路感染诊断方案的建议可能未传达给在筛查过程中起关键作用的护理人员。
