COMPARATIVE AUDIT - AN EXPERIMENTAL-STUDY OF 147882 GENERAL SURGICAL ADMISSIONS DURING 1990

被引:12
作者
DUNN, DC
FOWLER, S
机构
[1] Confidential Comparative Audit Service, Royal College of Surgeons of England, London, WC2A 3PN
关键词
D O I
10.1002/bjs.1800791028
中图分类号
R61 [外科手术学];
学科分类号
摘要
In 1991, 1025 general surgical Fellows of The Royal College of Surgeons of England were circulated with a Pro forma and asked to submit local audit results for admissions during 1990 to a confidential comparative audit service. The individual topics of cholecystectomy and colorectal resection were studied. Data returned by 160 surgeons concerned 147 882 admissions including 122 620 operations. Overall mortality rates ranged from 0 to 5 per cent and morbidity rates from 0 to 22 per cent. Laparoscopic cholecystectomy was associated with one-quarter of the mortality rate and two-thirds the morbidity rate of open cholecystectomy. Of the 33 surgeons who responded to a survey after the presentation of results, all wished to continue the exercise in future years; 39 per cent had been stimulated to perform further analyses and 15 per cent had changed practice habits as a result. Comparative audit involving large numbers of patients and surgeons is feasible and seems beneficial to participants.
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页码:1073 / 1076
页数:4
相关论文
共 14 条
[1]  
COLLINS CD, 1991, ANN R COLL SURG ENGL, V73, P73
[2]  
CUSHIERI A, 1991, AM J SURG, V161, P385
[3]  
DUNN DC, 1992, ANN ROY COLL SURG, V74, P47
[4]   AUDIT OF A SURGICAL FIRM BY MICROCOMPUTER - 5 YEARS EXPERIENCE [J].
DUNN, DC .
BRITISH MEDICAL JOURNAL, 1988, 296 (6623) :687-691
[5]   COMBINED COMPUTER GENERATED DISCHARGE DOCUMENTS AND SURGICAL AUDIT [J].
DUNN, DC ;
DALE, RF .
BRITISH MEDICAL JOURNAL, 1986, 292 (6523) :816-818
[6]   DEVELOPMENT OF A MICROCOMPUTER-BASED SYSTEM FOR SURGICAL AUDIT AND PATIENT ADMINISTRATION - A REVIEW [J].
ELLIS, BW ;
MICHIE, HR ;
ESUFALI, ST ;
PYPER, RJD ;
DUDLEY, HAF .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1987, 80 (03) :157-161
[7]  
Emberton M, 1991, Ann R Coll Surg Engl, V73, P117
[8]   SURGICAL AUDIT - COMPARISON OF THE WORK LOAD AND RESULTS OF 2 HOSPITALS IN THE SAME DISTRICT [J].
GILMORE, OJA ;
GRIFFITHS, NJ ;
CONNOLLY, JC ;
DUNLOP, AW ;
HART, S ;
THOMSON, JPS ;
TODD, IP .
BRITISH MEDICAL JOURNAL, 1980, 281 (6247) :1050-1052
[9]   CASELOAD OR WORKLOAD - SCORING COMPLEXITY OF OPERATIVE PROCEDURES AS A MEANS OF ANALYZING WORKLOAD [J].
JONES, SM ;
COLLINS, CD .
BRITISH MEDICAL JOURNAL, 1990, 301 (6747) :324-325
[10]  
NIXON SJ, 1988, SPR CLIN SCI M ROY C