上海市严重临床异常病例/事件监测项目实施阶段性分析  

Phased analysis on severe clinical abnormal case/event surveillance system in Shanghai City

作　　者：陶芳芳[1] 夏天[1] 冯玮[1] 庄建林[2] 田霞[3] 何翠芬[4] 吴寰宇[1] 

机构地区：[1]上海市疾病预防控制中心,上海200336 [2]上海市长宁区疾病预防控制中心 [3]上海市闵行区疾病预防控制中心 [4]上海市杨浦区疾病预防控制中心

出　　处：《实用预防医学》2015年第11期1287-1289,共3页Practical Preventive Medicine

基　　金：卫生行业科研专项基金(201202006)

摘　　要：目的了解严重临床异常病例/事件监测系统半年运行情况,提出系统改进建议,促进系统不断完善。方法三家试点医院采用不同的数据采集和上传方式,实现严重临床异常病例/事件监测。通过监测系统,采集2014年1-6月间医院电子病历中满足条件的病例信息,形成监测数据库,对数据进行分析,实现早期发现和预警。结果系统运行半年,共采集监测病例116例,其中肺炎症候群病例73条,13条为发热伴出疹,30条为异常病例,经核实无严重临床异常病例/事件。结论严重临床异常病例/事件监测系统运行顺利,为提高新发、不明原因疾病发现能力提供了公共卫生保障。Objective To investigate the running of the severe clinical abnormal case/event surveillance system in six months in as to put forward some suggestions for constantly improving the system. Methods Monitoring of the severe clinical abnormal case/event was carried out in three experimental hospitals by using different data - collection and data - transmission methods. The surveillance database was established by using the data collected from qualified electronic medical records of the information systems of the three hospitals from January to June 2014. The early detection and the early warning were realized based on analy- sis of the data. Results Totally, 116 cases were reported during the six - month trial period, including 73 cases of severe pneumonia syndrome, 13 cases of fever with rash and 30 abnormal cases. Ultimately, none of them was confirmed as a severe clinical abnormal case/event. Conclusions The severe clinical abnormal case/event surveillance system is successfully estab- lished and applied in Shanghai, and it provides public health support for improving the detection of new emerging and unknown diseases.

关 键 词：严重临床异常病例/事件 监测系统 实施情况 

分 类 号：R183.9[医药卫生—流行病学]