Hardern R D, Hodgson L C, Hamer D W
General Infirmary, Leeds, UK.
Eur J Emerg Med. 1998 Jun;5(2):241-4.
The aim of this study was to compare the performance of two formats (prose and flow diagram) of the guidelines for management of paracetamol poisoning, and to assess the likely performance without access to the guidelines. A prospective questionnaire study of the management of seven hypothetical cases of paracetamol ingestion was carried out by accident and emergency senior house officers at a regional induction course. No differences were found between the two formats. The proportion of correct answers was 37% in the flow diagram and 31% in the prose group (95% confidence interval for the difference -8% to 20%). In the group with neither format of the guideline the proportion of correct answers was lower: 19% (95% confidence interval for the difference between this group and the group with flow charts 6.9% to 30.6%, for the difference between this group and the group with the prose format 0.4% to 24.8%). The time taken to answer the questions did not vary between the groups. These data do not support the exclusive use of either format. They suggest that management of paracetamol poisoning is less likely to be correct if staff do not have access to the guidelines.
本研究旨在比较两种形式（散文体和流程图）的对乙酰氨基酚中毒管理指南的性能，并评估在无法获取指南情况下的可能性能。在一次地区入职培训课程中，急诊高级住院医师对七例假设的对乙酰氨基酚摄入病例的管理进行了一项前瞻性问卷调查研究。两种形式之间未发现差异。流程图组的正确答案比例为37%，散文体组为31%（差异的95%置信区间为-8%至20%）。在既没有指南任何一种形式的组中，正确答案比例较低：为19%（该组与流程图组差异的95%置信区间为6.9%至30.6%，该组与散文体形式组差异的95%置信区间为0.4%至24.8%）。各小组回答问题所用时间无差异。这些数据不支持单独使用任何一种形式。它们表明，如果工作人员无法获取指南，对乙酰氨基酚中毒的管理正确的可能性较小。
