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。

相似文献

1

Medical audit in practice.

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

2

Computer-unaided diagnosis of acute abdominal pain in an accident and emergency department.

Arch Emerg Med. 1989 Mar;6(1):77-8. doi: 10.1136/emj.6.1.77.

3

The acute abdomen: the role of computer-assisted diagnosis.

Baillieres Clin Gastroenterol. 1991 Sep;5(3 Pt 1):639-65. doi: 10.1016/0950-3528(91)90046-4.

4

Audit of acute referrals to the Department of Dermatology at Waikato Hospital: comparison with national access criteria for first specialist appointment.

N Z Med J. 2004 Apr 23;117(1192):U849.

5

[Many patients treated in the emergency department could be treated by a general practitioner on call].

Ugeskr Laeger. 1999 Aug 16;161(33):4624-7.

6

[The emergency service physician and acute abdominal pathology. Comparative study on 1500 cases].

Minerva Med. 1987 Nov 15;78(21):1597-600.

7

Are abdominal radiographs still overutilized in the assessment of acute abdominal pain? A district general hospital audit.

J R Coll Surg Edinb. 1998 Aug;43(4):267-70.

8

[Factors that are conducive to diagnostic errors in emergency abdominal surgery].

Vestn Khir Im I I Grek. 1989 Oct;143(10):68-71.

9

Paediatric consultation patterns in general practice and the accident and emergency department.

Ulster Med J. 1995 Apr;64(1):51-7.

10

Implementation of quality assurance and medical audit: general practitioners' perceived obstacles and requirements.

Br J Gen Pract. 1995 Oct;45(399):548-52.

引用本文的文献

1

Making routine data adequate to support clinical audit.

BMJ. 1994 Nov 12;309(6964):1246-7. doi: 10.1136/bmj.309.6964.1246.

2

Aspects of audit. 2. Audit in British hospitals.

Br Med J. 1980 May 31;280(6227):1314-6. doi: 10.1136/bmj.280.6227.1314.

3

Aspects of audit. 4: Acceptability of audit.

Br Med J. 1980 Jun 14;280(6229):1443-6. doi: 10.1136/bmj.280.6229.1443.

4

Medical audit in general practice. Butterworth Prize Essay 1981.

J R Coll Gen Pract Occas Pap. 1982;20(20):1-21.

5

General practitioner referral letters--the concept of a fixed-heading format.

Ulster Med J. 1982;51(2):136-40.

6

Overtreatment in surgery: discussion paper.

J R Soc Med. 1985 Jun;78(6):469-73. doi: 10.1177/014107688507800610.

7

Non-specific abdominal pain: the resource implications.

Ann R Coll Surg Engl. 1992 May;74(3):181-5.

8

An audit of prescribing by peer review.

J R Coll Gen Pract. 1978 Sep;28(194):525-30.

本文引用的文献

1

Medical Audit. Necessary, but rigidity greatest danger.

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.

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.

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

4

Simplified computer-aided diagnosis of acute abdominal pain.

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

5

The "acute abdomen" in the accident and emergency department.

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

6

The diagnosis of acute abdominal pain with computer analysis.

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

7

Communication as a method of medical audit.

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

8

Medical audit and general practice.

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

文献AI研究员

20分钟写一篇综述，助力文献阅读效率提升50倍。

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

文档翻译

学术文献翻译模型，支持多种主流文档格式。