医院传染病报告信息化对疫情报告质量影响的评价分析  

Influence of Information Technique Used for Reporting in Hospital:An Evaluation of Reporting Quality of Infectious Diseases

作　　者：刘建明[1] 凌莉[2] 彭丹心[1] 杨永洁[1] 黄美清[1] 

机构地区：[1]中山大学附属第一医院医院感染管理科,广东广州510080 [2]中山大学公共卫生学院医学统计与流行病学系,广东广州510080

出　　处：《中华医院感染学杂志》2009年第24期3330-3332,共3页Chinese Journal of Nosocomiology

摘　　要：目的评价传染病报告信息化对医院内部传染病报告质量的影响,探讨医院传染病报告信息系统的优势和存在问题。方法比较医院传染病报告信息化前、后,传染病漏报、迟报、报告卡填写质量情况。结果传染病报告信息化后,传染病漏报率、迟报率、报告卡完整率和准确率分别为0.6%、2.0%、99.3%和99.3%,漏报率比信息化前降低了15.9%(2χ=436.997,P<0.001),迟报率比信息化前降低了9.3%(χ2=185.984,P<0.001),报告卡完整率比信息化前升高了26.0%(χ2=599.704,P<0.001),准确率比信息化前升高了46.7%(2χ=1266.333,P<0.001)。结论医院传染病报告实行信息化,能有效控制医院传染病迟报、漏报,提高报告卡填写质量。OBJECTIVE To evaluate the influence of the information technique reporting on the quality of the infectious diseases reporting,and discuss the advantages and existing problems of Reporting Information System of Infectious Diseases（＂IDRIS＂）.METHODS The situations of missing reports,late reports,and information quality of reporting cards before and after the application of IDRIS in the hospital were compared.RESULTS The missing report rate,late report rate,completeness rate and accuracy rate of cards after the application of IDRIS were 0.6%,2.0%,99.3% and 99.3% respectively,vs 16.5%（15.9% lower,（χ2=436.997,P〈0.001）,11.3%（9.3% lower,χ2=185.984,P〈0.001）,73.3%（26.0% higher,χ2=599.704,P〈0.001）,and 52.6%（46.7% higher,χ2=1266.333,P〈0.001） before its use.CONCLUSIONS After the information technique is used in infectious diseases reporting in the hospital,the missing reports and late reports have been controlled effectively.The accuracy and completeness of reporting cards have been improved greatly.

关 键 词：传染病报告 漏报 信息系统 评价 

分 类 号：R184[医药卫生—流行病学]