Sarkies N, Everson J, Davies S
Ophthalmic Department, Addenbrooke's NHS Trust, Cambridge, UK.
Eye (Lond). 1995;9 ( Pt 6 Su):13-21.
To review and compare management and outcomes of patients undergoing cataract surgery in order to improve practice by identifying weaknesses and standardising best practice where appropriate, a concurrent and prospective audit from June to October 1993 was carried out in four neighbouring ophthalmic units in East Anglia. Six hundred and twenty-seven consecutive patients were undergoing cataract surgery in the audit period. The main measures and results were as follows: (1) Patients with visual acuity reduced to 6/60 or less should not wait longer than 3 months from consultation to surgery; 69.5% met standard. (2) Patients with visual acuity reduced to 6/18 or less should not wait longer than 12 months from consultation to surgery; 85.8% met standard. (3) Patients who have had cataract surgery should achieve 6/12 or better corrected visual acuity by 3 months post-operatively; 88.6% met standard. (4) There should be less than 2% sight-threatening complications of surgery; 4.2% suffered sight-threatening complications. (5) There should be no life-threatening complications of surgery; 100% met standard. The audit identified key areas of variation in practice, and analysis of reasons for differences in outcome has led to some changes in the management of patients with cataracts in the four units.
为了通过找出薄弱环节并在适当情况下规范最佳实践来改进白内障手术患者的管理和治疗效果，1993年6月至10月在东安格利亚的四个相邻眼科单位进行了一项同期前瞻性审计。在审计期间，有627名连续接受白内障手术的患者。主要措施和结果如下：（1）视力降至6/60或更低的患者从咨询到手术等待时间不应超过3个月；69.5%达到标准。（2）视力降至6/18或更低的患者从咨询到手术等待时间不应超过12个月；85.8%达到标准。（3）接受白内障手术的患者术后3个月矫正视力应达到6/12或更好；88.6%达到标准。（4）手术中威胁视力的并发症应少于2%；4.2%的患者出现了威胁视力的并发症。（5）手术中不应有危及生命的并发症；100%达到标准。此次审计确定了实践中的关键差异领域，对结果差异原因的分析导致了这四个单位白内障患者管理方面的一些变化。
