2013年河南省县及县以上医疗机构报告死亡病例质量评价  

Quality Evaluation on the Death Case Report in County and above Level Medical Institutions of Henan Province in 2013

作　　者：李少芳[1] 范雷[1] 赵晓静[1] 底秀娟[1] 轩水丽[1] 

机构地区：[1]河南省疾病预防控制中心,河南郑州450016

出　　处：《中国医学创新》2015年第7期114-116,共3页Medical Innovation of China

摘　　要：目的:评估河南省2013年县及县以上医疗机构报告死亡病例的质量情况。方法:收集并整理2013年河南省县及县以上医疗机构网络直报的死亡病例信息,采用县区报告率、报告合格率、审核率、审核合格率、根本死因编码准确性等指标进行评价。结果:2013年河南省县及县以上医疗机构县区报告率为95.27%,报告合格率为88.27%;平均审核率为99.9%,审核合格率为98.49%;编码不准确的比例为7.93%。结论:河南省县及县以上医疗机构报告死亡病例的质量有了一定的提高,但报告的死因编码准确性较差,根本死因确定和编码培训工作有待提高。Objective：To evaluate the quality of death case reporting in county and above level medical institution of Henan province in 2013.Method：The death cases information about reporting network system reported from county and above level medical institution of Henan province in 2013 were selected,county reporting rate,eligibility rate of reporting,auditing rate,eligibility rate of auditing, and the accuracy of underlying cause of death coding were applied to the assessment of reporting deaths.Result：The total county reporting rate was 95.27%,eligibility rate of reporting was 88.27%,average auditing rate was 99.9%,eligibility rate of auditing was 98.49%;the accuracy of underlying cause of death coding was 7.93%.Conclusion：Although the quality of death case reporting in county and above levels medical institutes had greatly increased,quality of death coding is dissatisfactory,which indicated that the training on ascertainment and coding of underlying death causes were quite essential.

关 键 词：死亡病例 网络报告系统 质量评价 

分 类 号：R197.3[医药卫生—卫生事业管理]