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The influence of medical audit on the management of epistaxis in three District General Hospitals

Published online by Cambridge University Press:  29 June 2007

P. Murthy ,
C. Christodoulou ,
N. Yatigammana  and
M. Datoo
P. Murthy*
Affiliation:
Ipswich
C. Christodoulou
Affiliation:
Ipswich
N. Yatigammana
Affiliation:
Ipswich
M. Datoo
Affiliation:
Ipswich
*
Mr P. Murthy, F.R.C.S., ENT Department, The Ipswich Hospital, Heath Road, Ipswich IP4 5PD.
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Abstract

The implementation of audit in most hospital departments in the UK has been instigated by the guidelines set out by the Royal Colleges. This paper aims to demonstrate the results of regular subregional audit meetings in the ENT departments involving three District Hospitals in East Anglia. We report the effects of audit meetings in improving the management of epistaxis, whereby a protocol for treatment and discharge was established, the duration of the nasal pack left in situ was reduced, and the material of the pack was changed.

Keywords

Professional review organizationsEpistaxis
Type
Audit Article
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 1 , January 1994 , pp. 38 - 41
Copyright
Copyright © JLO (1984) Limited 1994

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References

Becker, H. (1983) Paraffinoma as a complication of nasal packing. Plastic and Reconstructive Surgery Nov: 735–736CrossRefGoogle ScholarPubMed
Collopy, B. T. (1991) Audit activities in Australia. British Medical Journal 303: 1523.CrossRefGoogle ScholarPubMed
David, A. S. (1991) From audit to quality and beyond. British Medical Journal 303: 852–853CrossRefGoogle Scholar
DeLacey, G. (1992) What is audit? Why should we be doing it? Hospital Update June: 458–466Google Scholar
Dingle, A. F., Flood, L. M. (1991) The implementation of audit in an ENT unit. Journal of Laryngology and Otology 105: 611–613.CrossRefGoogle Scholar
Mabry, R. L. (1986) Management of epistaxis by packing. Otolaryngology-Head and Neck Surgery 94(3): 401–403CrossRefGoogle Scholar
Royal College of Physicians of England (1989). Medical audit.Google Scholar
Royal College of Surgeons of England (1989). Guidelines to Clinical Audit in Surgical Practice.Google Scholar
Shaheen, O. (1970)Studies of nasal vasculature and the problems of arterial ligation for epistaxis. Annals of the Royal College of Surgeons of England 47: 30–44Google ScholarPubMed
Sirimanna, K. S., Todd, G. B., Madden, G. J. (1992) A randomized study to compare calcium-sodium-alginate fibre with two commonly used materials for packing after nasal surgery. Clinical Otolaryngology 17: 237–239CrossRefGoogle ScholarPubMed
Small, M., Maran, A. G. D. (1984) Epistaxis and arterial ligation. Journal of Laryngology and Otology 98: 281–284.CrossRefGoogle ScholarPubMed
Taylor, A. R., Ware, J. E., Greenfield, S., Nelson, E. C.Perrin, E., Zubkoff, M. (1989) The medical outcome study: an application of methods for monitoring the results of medical care. Journal of the American Medical Association 262: 925–930Google Scholar