Analysis of 1263 deaths in four general practices.

作者: J Holden , L Miles , J Brindley , S O'Donnell

DOI:

关键词:

摘要: BACKGROUND: The death of a patient is significant event that occurs often enough in general practice for it to have the potential tell us much about care we provide. There are few large series literature and still know little collaborative use this outcome measure. AIM: To determine pattern deaths potentially preventable factors our practices. METHOD: We completed standard data collection form after each four practices over 40-month period. results were discussed at quarterly meetings. RESULTS: A total 1263 occurred among registered patients during period audit. Preventable contributing considered be attributable to: (40%): mainly cigarette smoking, poor compliance, alcohol problems; teams (5%): delayed referral, diagnosis treatment, failure prescribe aspirin with vascular disease; hospitals (6%): perceived treatment environment (3%): falls, principally resulting fractured neck femur. CONCLUSION: simple audit along lines describe gives important information provided by those hospital practice. It has both educational value source ideas service improvement further study, particularly when carried out several years.

参考文章(19)
R Wagstaff, R Stacy, R A Bhopal, A Berlin, J Spencer, Information about patients' deaths: general practitioners' current practice and views on receiving a death register. British Journal of General Practice. ,vol. 44, pp. 315- 316 ,(1994)
A Berlin, J A Spencer, R S Bhopal, T D van Zwanenberg, Audit of deaths in general practice: pilot study of the critical incident technique. Quality and Safety in Health Care. ,vol. 1, pp. 231- 235 ,(1992) , 10.1136/QSHC.1.4.231
I R McWhinney, Medical audit in North America. BMJ. ,vol. 2, pp. 277- 279 ,(1972) , 10.1136/BMJ.2.5808.277
John D. Holden, Auditing palliative care in one general practice over eight years Scandinavian Journal of Primary Health Care. ,vol. 14, pp. 136- 141 ,(1996) , 10.3109/02813439609024167
R. Baker, Making Sense of Audit Quality and Safety in Health Care. ,vol. 1, pp. 82- 82 ,(1992) , 10.1136/QSHC.1.1.82
Monika Grüßer, Petra Hartmann, Uwe Bott, Peter Kronsbein, Viktor Jörgens, Effects of Peer-Review Groups on Physicians’ Practice European Journal of General Practice. ,vol. 1, pp. 107- 112 ,(1995) , 10.3109/13814789509160301
R Doll, R Peto, E Hall, K Wheatley, R Gray, Mortality in relation to consumption of alcohol: 13 years' observations on male British doctors BMJ. ,vol. 309, pp. 911- 918 ,(1994) , 10.1136/BMJ.309.6959.911