预印表格对急诊科急性哮喘管理的影响。
Effect of a preprinted form on the management of acute asthma in an accident and emergency department.
作者信息
Robinson S M, Harrison B D, Lambert M A
机构信息
Norfolk and Norwich Hospital, UK.
出版信息
J Accid Emerg Med. 1996 Mar;13(2):93-7. doi: 10.1136/emj.13.2.93.
OBJECTIVE
To assess the effect of a preprinted form on the documentation of clinical data and compliance with the national guidelines for the management of asthma.
METHODS
Prospective audit six months before and after introduction of the form.
RESULTS
Use of the form improved the documentation of past asthma history (69% v 93%, P < 0.001), current treatment (81% v 95%, P < 0.01), predicted peak flow (23% v 75%, P < 0.001), per cent predicted peak flow (1% v 62%, P < 0.001), and respiratory rate (81% v 95%, P = 0.007). Compliance with the British recommendations for treatment improved with use of the form (50% v 89%, P < 0.001) The prescription of steroids on discharge did not improve significantly (26% v 44%, P > 0.05).
CONCLUSIONS
The preprinted form resulted in enhanced documentation of data and conformity with current guidelines for the management of asthma.
目的
评估预印表格对临床数据记录以及哮喘管理国家指南依从性的影响。
方法
在引入该表格前后各进行为期六个月的前瞻性审计。
结果
使用该表格改善了既往哮喘病史（69%对93%，P<0.001）、当前治疗（81%对95%，P<0.01）、预计峰值呼气流速（23%对75%，P<0.001）、预计峰值呼气流速百分比（1%对62%，P<0.001）以及呼吸频率（81%对95%，P=0.007）的记录。使用该表格后，对英国治疗建议的依从性有所提高（50%对89%，P<0.001）。出院时类固醇药物的处方没有显著改善（26%对44%，P>0.05）。
结论
预印表格使数据记录得到增强，并符合当前哮喘管理指南。
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