北京市五家大型综合医院“重返类”指标的比较分析  

A Comparative Analysis of "Re-entry Category" Indicators in Five Major General Hospitals in Beijing

作　　者：陈虎[1] 焦雅辉[2] 赵明钢[2] 梁铭会[1] 马谢民[3] 王锡宁[1] 简伟研[3] 舒婷[1] 张雷达[1] 马雯[1] 朱微微[1] 俞汝龙[1] 

机构地区：[1]卫生部医疗服务监管司,北京100044 [2]卫生部医政司,北京100044 [3]北京大学医学部,北京100191

出　　处：《中国卫生质量管理》2010年第1期4-7,共4页Chinese Health Quality Management

摘　　要：利用"中国医疗质量指标体系(CHQIS)"中部分"重返类"指标,即非计划再入院类指标和重返手术室类指标,比较分析了北京市5家大型综合医院的医疗质量。结果表明,"重返类"指标较传统指标能够更为敏感。借助"重返类"指标分析结果和病案首页的信息进行"根因分析",可以比较精确地发现医疗质量问题。本研究采用的多家医院横向比较分析方法,有助于医院通过质量"标杆"发现自身存在的问题。Abstract The study used ＂re -entry category＂ indicators, which is part of ＂China~ health care quality indicators （CQIS）＂ that is, unplanned re - admission category of indicators and to return to the operating room categories of indicators, to comparative analyze the medical quality in Beijing~ five major general hospitals. The results indicate that the ＂re - entry category＂ indicators can reflect the quality of care more sensitive than traditional indicators. With ＂re - entry category＂ targets analysis and medical record information in the ＂root cause analysis＂, the problems in medical care can be analyzed in detail. This study used a horizontal com- parative analysis of several hospitals to help the hospitals discover their own problems through the quality ＂benchmark＂.

关 键 词：医疗质量 比较 非计划再入院率 重返手术室发生率 

分 类 号：R197.32[医药卫生—卫生事业管理] R197.323[医药卫生—公共卫生与预防医学]