2007-2014年四川省攀枝花市县及县以上医疗机构死亡病例报告质量分析  

Quality of death case reporting in medical institutions at county level or above in Panzhihua,2007-2014

作　　者：蒲玉红[1] 付君[1] 肖攀[1] 李春霞[1] 黄星辉[1] 

机构地区：[1]攀枝花市疾病预防控制中心,四川攀枝花617000

出　　处：《疾病监测》2015年第9期780-783,共4页Disease Surveillance

摘　　要：目的了解2007 2014年四川省攀枝花市县及县以上医疗机构死亡病例监测网络直报质量变化情况,提出改善管理和提高报告质量的对策,完善督导检查的方式和内容。方法应用Excel和SPSS统计软件整理、分析2007 2014年县及县以上医疗机构死亡病例报告管理督导检查资料,采用报告率、报告及时率、完整率、准确率、录入一致率等指标进行评价。结果报告率从2007年的80.00%上升至95.00%以上的较高水平,平均报告率95.33%;急诊科报告率92.48%,低于住院死亡病例报告率96.45%(P=0.000);报告及时率97.25%,从2007年的83.67%上升至2014年的99.84%;死亡报告卡填写完整率79.43%、准确率71.23%、录入一致率88.14%。不同年度间报告率、报告及时率、完整率、准确率、录入一致率差异均有统计学意义(P=0.000)。结论加强急诊科死亡病例的登记报告管理,对医生开展方式多样的培训,利用医院信息化系统开展死亡登记报告,细化、统一检查标准是目前提高攀枝花市县及县以上医疗机构死亡病例报告质量的主要对策。Objective To understand the quality of death case surveillance in medical institutions at county level or above in Panzhihua,Sichuan province,during 2007- 2014,and provide evidence for the improvement of death case reporting. Methods The analysis was conducted on the supervision data of death case reporting in these medical institutions during 2007- 2014 with Excel and SPSS. Results The death case reporting rate increased from 80. 00% in2007 to ≥ 95. 00% in 2014. The average reporting rate was 95. 33%. The reporting rate in emergency departments was92. 48%,low er than that of 96. 45% of reported hospitalized cases（ P = 0. 000）. The timely reporting rate increased from 83. 67% in 2007 to 99. 84% in 2014,the average timely reporting rate was 97. 25%. The complete rate of death case reporting cards was 79. 43%,the accurate rate was 71. 23% and the consistent rate was 88. 14%. The year specific differences were statistical significant（ P = 0. 000）. Conclusion It is necessary to strengthen the management of death case reporting in emergency departments,conduct training in medical personnel,carry out death case reporting through hospital information system,and standardize the inspection standards to improve the quality of the death case monitoring network in medical institutions at county level or above.

关 键 词：死亡病例 网络直报系统 质量分析 

分 类 号：R197.3[医药卫生—卫生事业管理]