对住院患者更名现象的原因分析及防范措施研究  

Reason Analysis on the Phenomena of Inpatients Renaming and Researching of Prevention Measures

作　　者：方孝梅[1] 沈大燕[1] 明星[1] 明星辰[1] 邓琼[1] 

机构地区：[1]湖北医药学院附属十堰市太和医院,442000

出　　处：《中国病案》2013年第6期12-13,共2页Chinese Medical Record

摘　　要：目的分析住院患者更名原因及存在的安全隐患,提出减少患者更名的有效对策。方法对更名人次、住院科室、身份类别和患者来源等信息进行分类汇总,计算各类人群比重,采用结构变动度对比分析。结果 2010-2012年医院住院人次和更名人数年均增长速度分别为19.14%、26.47%,主要分布在创伤骨科、神经外科、新生儿科和妇科等科室,且约40%的患者更名为非同音字、全名更改的增长较快,2012年更名患者中医保、农合患者高达96.4%,50%以上来自市辖各县。结论患者更名存在诸多隐患,影响了公共卫生资源的有效利用,因此强化医院内部管理、加强患者身份验证、规范病人更名流程和推广就医"实名制"是应对更名发生的有效途径。Objective＇To analyze the reasons and existing potential safety hazard of inpatients renaming, and put forward some effective countermeasures for reducing the patient renaming. Methods To classify and summarize the information of inpatients who performed renaming such as quantity, department, identity category and source of patients, calc^ate the percentage of the population with the application of structure change contrast analysis. Results The average annual growth rate of hospital inpatients quantity and patients renaming were 19.14% and 26.47% respectively during the year 2010 to 2012, which mainly distributed in departments such as trauma orthopedics, neurosurgery, neonatology department and gynecology department and so on, and about 40% of the pa- tients who changed their names to the homophone or full names changed had grown rapidly relatively. In 2012, the proportion of re- named patients with medical insurance and rural cooperative medical service was as high as 96.4%, in which more than 50% came from counties. Conclusions Patients renaming has lots of troubles and has affected the effective utility of public health resources, so the effective measures to deal with the occurrence of renaming are： intensifying the hospital internal management, strengthen the au- thentication of the patients, standardizing the process of patients renaming and promoting ＂real-name system＂ in medical treatment process.

关 键 词：患者更名 安全隐患 身份验证 实名制 

分 类 号：R197.3[医药卫生—卫生事业管理]