1. Improving standards in the treatment of acute otitis externa by the use of a treatment protocol and open access to aural toilet.
- Author
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Tierney PA, Price T, Gillet D, Oyarzabal MO, and Salama N
- Subjects
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Clinical Protocols, Emergency Service, Hospital standards, Family Practice standards, Female, Humans, Infant, London, Male, Medical Audit methods, Middle Aged, Outcome and Process Assessment, Health Care, Outpatient Clinics, Hospital standards, Prospective Studies, Referral and Consultation standards, Severity of Illness Index, Surveys and Questionnaires, Health Services Accessibility standards, Otitis Externa therapy
- Abstract
A prospective audit of the procedure and outcome in the management of acute otitis externa was undertaken in our unit. The first cycle demonstrated a heterogeneous approach and clinical isolation of junior staff. A questionnaire survey of local general practitioners highlighted clinical confusion over the use of topical medication and a need for improved access to facilities for aural toilet. General practitioner liaison and education was an essential component in formulating a change in practice. In particular, open access for aural toilet was introduced and utilization encouraged. Following changes in practice, the second cycle of the audit showed that treatment protocols were effective and adhered to by junior staff.
- Published
- 2001
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