Dale R F
Surgical Epidemiology and Audit Unit, Royal College of Surgeons, London, UK.
J Qual Clin Pract. 1998 Mar;18(1):47-54.
Large scale audits can attract the participation of the majority of surgeons. They require careful planning and must be supported by an infrastructure to co-ordinate the running of the audit and to ensure accuracy of data. Audits can be important sources of information for the development of evidence-based guidelines, and this approach is a good strategy for bringing the lessons obtained from the audit to the profession. Audits that work closely with professional bodies produce the best results and are enhanced by patient representation. Risk stratification is an essential component of comparative studies and should be incorporated to ensure that multi-centre audits are systematic.
大规模审计能够吸引大多数外科医生参与。它们需要精心规划，并且必须有一个基础设施来支持，以协调审计工作的开展并确保数据的准确性。审计可以成为制定循证指南的重要信息来源，而且这种方法是将审计中获得的经验教训传达给整个行业的良好策略。与专业机构密切合作的审计能产生最佳效果，并且有患者代表参与会得到加强。风险分层是比较研究的重要组成部分，应予以纳入以确保多中心审计的系统性。
