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急症室高级住院医生了解英国关于急性哮喘管理的指南吗?

Do accident and emergency senior house officers know the British guidelines on the management of acute asthma?

作者信息

Ulahannan T, Hardern R D, Hamer D W

机构信息

Department of Accident and Emergency Medicine, General Infirmary at Leeds, UK.

出版信息

Postgrad Med J. 1996 Mar;72(845):162-3. doi: 10.1136/pgmj.72.845.162.

Abstract

Avoidable deaths from asthma continue, even in hospital. Since the management of acute severe asthma is often initiated in the Accident and Emergency department, it is crucial that staff there have adequate knowledge. An anonymous questionnaire, containing items based on chart 6 of the UK guidelines, was completed by 66 Accident and Emergency Senior House Officers from the Yorkshire region. The study aim was to establish these doctors' levels of knowledge about the recommended management of acute asthma in Accident and Emergency. The median score was 10 (out of a possible 24) and the interquartile range 8-13. Further efforts are required to implement these guidelines so that the best patient outcomes can be achieved.

摘要

即使在医院里,仍有可避免的哮喘死亡病例。由于急性重症哮喘的治疗通常在急诊科开始,因此那里的工作人员具备足够的知识至关重要。一份基于英国指南图表6的匿名问卷由来自约克郡自约克郡地区的66名急诊科高级住院医师填写。该研究的目的是确定这些医生对急诊科急性哮喘推荐治疗方法的了解程度。中位数分数为10分(满分24分),四分位距为8 - 13分。需要进一步努力实施这些指南,以便实现最佳的患者治疗效果。

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本文引用的文献

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The use of structured, complaint-specific patient encounter forms in the emergency department.
Ann Emerg Med. 1993 May;22(5):805-12. doi: 10.1016/s0196-0644(05)80796-6.
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Audit in acute severe asthma--who benefits?
J R Coll Physicians Lond. 1993 Oct;27(4):387-90.
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Lancet. 1993 Nov 20;342(8882):1305. doi: 10.1016/0140-6736(93)92399-e.
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Clinical guidelines: development, implementation, and effectiveness.
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