Timpka, T., Bjurulf, P., and Buur, T. (1990). Audit of Decision-making Regarding Female Genitourinary Infections in Outpatient Practice. Technical Report LiTH-IDA-R-90-29, Department of Computer and Information Science, Linköping University, Sweden. Also published in Scand. J Inf Dis 1990;22:49-57. (bibtex),
Abstract: Patient data, diagnosis, workup measures, and prescriptions were collected from 63 consultations by general practitioners (GPs) to study day-to-day of women with complaints suggestive of genitourinary (GU) infections. The collected patient data were thereafter presented to a panel of nine specialist physicians for their individual recommendations. On drug prescriptions, the panel supported 81 decisions, did not support 14%, and remained undecided on 5 all but one of the unsupported cases, the GP had prescribed antibiotics. On diagnoses, the panel supported 62% of the decisions, did not support 13 was undecided on 25 diagnosis of urethritis. On collection of medical data by history and physical examination, the panel found 22 unsatisfactory. Discordance in both diagnosis and drug prescription were related to remarks about data collection. The results suggests that the body of knowledge available for GPs for management of female GU infections in outpatient practice is incomplete.
CS Dept TR Overview