Tabandeh H, Thompson G M
Department of Ophthalmology, St George's Hospital, London, UK.
Eye (Lond). 1995;9 ( Pt 6 Su):1-5.
Medical audit is now a well-established part of the routine of ophthalmology departments. Accomplishing a complete audit is a complex task and its effectiveness depends on how it is performed. In order to evaluate the procedure in our department a retrospective analysis of 18 audits was carried out with particular reference to the level, objectives, beneficial effects, and effects on current practice. Our practice was critically analysed using these factors. One audit fulfilled the criteria for a full audit. Eleven (60%) were partial or potential and six (30%) were an attempt in planning an audit. The majority omitted plans for implementing change or targets for future assessment. Seven had educational benefit. There was little effect on patient care, cost-effectiveness or communication. Medical audit can be clinically effective, educational and stimulating. Failure to complete all stages affects the outcome. This study identifies the difficulties involved in performing complete audits and suggests improving the procedure by auditing audits on a regular basis.
医学审计如今已成为眼科部门日常工作中既定的一部分。完成一次全面审计是一项复杂的任务，其有效性取决于执行方式。为了评估我们科室的审计程序，对18次审计进行了回顾性分析，特别关注审计水平、目标、有益效果以及对当前实践的影响。我们依据这些因素对自身实践进行了批判性分析。一次审计符合全面审计的标准。十一次（60%）是部分或潜在的审计，六次（30%）是审计规划方面的尝试。大多数审计遗漏了实施变革的计划或未来评估的目标。七次审计具有教育意义。对患者护理、成本效益或沟通几乎没有影响。医学审计在临床上可以是有效的、具有教育意义且能激发积极性的。未能完成所有阶段会影响结果。本研究明确了进行全面审计所涉及的困难，并建议通过定期对审计进行审核来改进审计程序。
