Abstract
A brief description of the change from a normative evaluation to a formal audit of anaesthesia for neurosurgery is described. The criteria to be applied and their significance for clinical practise are listed. It is emphasized that these items are not presented as criteria for the standard of anaesthesia practised but as matters deserving debate among anaesthetists participating in a formal audit, particularly where the case load does not permit statistical analysis of patient outcome and only discussion of individual patients or small groups is possible. It is suggested, as it has been by others, that formal audit in a department of anaesthesia can be developed as the form of continuing medical education most closely related to the clinical work of the anaesthetists working within it.
Résumé
Les auteurs décrivent comment on peut parvenir à une évaluation formelle de l’anesthésie neurochirurgicale à partir d’une évaluation normative. Les critères applicables et leur signification clinique sont énumérés. Il faut retenir que les paramètres mentionnés par les auteurs ne devraient pas servir de critères pour l’évaluation de la qualité de l’exercice de l’anesthésie mais bien de sujets de discussions entre anesthésistes qui participent à une évaluation formelle de l’acte anesthésique particulièrement lorsque le nombre de cas ne permet pas l’analyse statistique des résultats cliniques et lorsque seule la discussion de cas particuliers ou de petits nombres de cas n’est possible. Il est suggéré comme d’autres l’ont déjà fait de perfectionner le mode d’évaluation formelle de la qualité de l’acte anesthésique de façon à lui permettre de devenir la forme d’enseignement médical continu la plus adaptée aux besoins du clinicien.
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Mcintyre, J.W.R., Purdell-Lewis, J.G. A formal audit as continuing medical education: Anaesthesia for neurosurgery. Canad. Anaesth. Soc. J. 29, 174–180 (1982). https://doi.org/10.1007/BF03007999
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DOI: https://doi.org/10.1007/BF03007999