实践中的医疗审计。

Medical audit in practice.

作者信息

Gruer R, Gunn A A, Ruxton A M

出版信息

Br Med J. 1977 Apr 9;1(6066):957-8. doi: 10.1136/bmj.1.6066.957.

DOI:10.1136/bmj.1.6066.957

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1605826/

Abstract

A stage by stage approach was adopted to solve some of the problems of diagnosing and managing acute abdominal pain. Audit started in hopsital and was extended, with the help of a community physician, to cover the practice of a group of general practitioners. Referrals to the accident and emergency department for acute abdominal pain were analysed, and the diagnostic accurancy of general practitioners, accident department staff, and ward staff was assessed. The accuracy of hopsital staff was improved by issuing guidelines and checklists to help in diagnosis. The general practitioners' problems were defined and discussed with the surgeons. The audit continues with the aim of improving the general practitioners' diagnostic accuracy.

摘要

我们采用了分阶段的方法来解决急性腹痛诊断和管理中的一些问题。审核工作先在医院开展，之后在一位社区医生的帮助下扩展至一组全科医生的诊疗工作。我们分析了因急性腹痛转诊至事故与急诊部门的情况，并评估了全科医生、事故部门工作人员及病房工作人员的诊断准确性。通过发布有助于诊断的指南和检查表，提高了医院工作人员的诊断准确性。明确了全科医生存在的问题，并与外科医生进行了讨论。审核工作仍在继续，目的是提高全科医生的诊断准确性。

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本文引用的文献

1

Medical Audit. Necessary, but rigidity greatest danger.医疗审计。有必要，但僵化是最大的危险。

Br Med J. 1974 Feb 16;1(5902):279-80. doi: 10.1136/bmj.1.5902.279.

2

Medical audit. Experience in the U.S.A.医学审计。美国的经验

Br Med J. 1974 Feb 16;1(5902):271-4. doi: 10.1136/bmj.1.5902.271.

3

Medical audit. Need for pilot studies in general practice.医学审计。全科医疗中开展试点研究的必要性。

Br Med J. 1974 Feb 16;1(5902):278-9. doi: 10.1136/bmj.1.5902.278.

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Simplified computer-aided diagnosis of acute abdominal pain.急性腹痛的简化计算机辅助诊断

Br Med J. 1975 Apr 12;2(5962):73-5. doi: 10.1136/bmj.2.5962.73.

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The "acute abdomen" in the accident and emergency department.急诊科的“急腹症”。

J R Coll Surg Edinb. 1976 May;21(3):165-9.

6

The diagnosis of acute abdominal pain with computer analysis.利用计算机分析进行急性腹痛的诊断。

J R Coll Surg Edinb. 1976 May;21(3):170-2.

7

Communication as a method of medical audit.作为医学审计方法的沟通

Lancet. 1976 Jun 19;1(7973):1341-4. doi: 10.1016/s0140-6736(76)92670-2.

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Medical audit and general practice.

Lancet. 1975 Mar 1;1(7905):511-3. doi: 10.1016/s0140-6736(75)92846-9.

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