出院第一诊断与单病种质量相关性调查  

An investigation on the correlation between the first discharge diagnosis and the quality of single disease

作　　者：张萍[1] 张洁[1] 李初民[1] 范忠武[1] 

机构地区：[1]第三军医大学新桥医院,重庆400037

出　　处：《激光杂志》2003年第3期94-94,共1页Laser Journal

摘　　要：目的 :加强病案首页出院第一诊断选择的准确性 ,以提高单病种的医疗质量。方法 :采用回顾性的方法对 2 0 0 2年出院的 10个单病种 ( 2 393份病案 )的出院诊断顺序进行检查和修改 ,以观察单病种质量的变化。结果 :出院第一诊断的改变 ,导致单病种的平均住院日、平均医疗费用发生了相应的变化。结论 :出院第一诊断的选择决定单病种的质量指标 。Objective:Selecting an accurate first diagnosis from the medical record frontpage to achieve a higher treatment quality of single disease.Methods:By use of a retrospective study,the discharge diagnosis order of ten single disease in 2002 was checked and modified,the treatment quality of single disease was explored.Results:A changed first discharge diagnosis leads the corresponding changes of average inpatient day of single disease and average medical cost.Conclusion:The selection of the first discharge diagnosis effects the treatment quality of single disease and the whole treatment quality of the hospital.

关 键 词：出院诊断 单病种 医疗质量 相关性 质量管理 

分 类 号：R44[医药卫生—诊断学]