Audit in Intensive Care

作者: J. Bion

DOI: 10.1007/978-3-642-84125-5_87

关键词:

摘要: The term “audit” is of Latin origin, and implied public examination fact. In an industrial context it refers to verification accounts assessment performance — cost effectiveness. Medical audit more difficult define because the diversity activities which represent health care, therefore means different things people. There are however certain common elements medical audit, may be defined as “the systematic factors affect delivery good care”. This activity has always been a normal part practice in form morbidity mortality meetings, consensus conferences, conduct research. However, definition raises questions should themselves subject research: what systems or standards needed, how can they derived? Who monitor results have access data? What we measure how? do mean by care? Does process itself improve Simplistic phrases such ‘value for money’ ignore fact that care complex structures, even when relationship between purchaser provider apparently clearly private practice.

参考文章(15)
J F Bion, S A Edlin, G Ramsay, S McCabe, I M Ledingham, Validation of a prognostic score in critically ill patients undergoing transport. BMJ. ,vol. 291, pp. 432- 434 ,(1985) , 10.1136/BMJ.291.6493.432
J F Bion, I H Wilson, P A Taylor, Transporting critically ill patients by ambulance: audit by sickness scoring BMJ. ,vol. 296, pp. 170- 170 ,(1988) , 10.1136/BMJ.296.6616.170
William A Knaus, Elizabeth A Draper, Douglas P Wagner, Jack E Zimmerman, An Evaluation of Outcome from Intensive Care in Major Medical Centers Annals of Internal Medicine. ,vol. 104, pp. 410- 418 ,(1986) , 10.7326/0003-4819-104-3-410
DAVID J. CULLEN, JOSEPH M. CIVETTA, BURTON A. BRIGGS, LINDA C. FERRARA, Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Critical Care Medicine. ,vol. 2, pp. 57- 60 ,(1974) , 10.1097/00003246-197403000-00001
F. Bion, T. C. Aitchison, S. A. Edlin, I. McA. Ledingham, Sickness scoring and response to treatment as predictors of outcome from critical illness Intensive Care Medicine. ,vol. 14, pp. 167- 172 ,(1988) , 10.1007/BF00257472
Douglas P. Wagner, Physiologic Abnormalities and Outcome From Acute Disease Archives of Internal Medicine. ,vol. 146, pp. 1389- 1396 ,(1986) , 10.1001/ARCHINTE.1986.00360190171024
Allan S. Detsky, Steven C. Stricker, Albert G. Mulley, George E. Thibault, Prognosis, Survival, and the Expenditure of Hospital Resources for Patients in an Intensive-Care Unit New England Journal of Medicine. ,vol. 305, pp. 667- 672 ,(1981) , 10.1056/NEJM198109173051204