病案号唯一性的数据对比分析  

Comparative Analysis on the Data of Unique Medical Record Number

作　　者：叶小云[1] 章莉丽[1] 冀楠[1] 吴蓉[1] Ye Xiaoyun Zhang Lili Ji Nan Wu Rong(The Second Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China)

机构地区：[1]浙江大学医学院附属第二医院,杭州市310009

出　　处：《中国病案》2016年第12期4-6,共3页Chinese Medical Record

摘　　要：目的提高病案号的唯一性,确保患者信息连续性、准确性及保证身份信息有效识别。方法对2012年5月与2016年5月全院就诊卡中含身份证的比例及同一身份证号对应的病案号数进行对比分析,并利用SPSS11.0统计软件进行统计学比较。结果多个环节质量控制后,无身份信息的比例从43.83%下降到11.11%,同一身份证有2个以上病案号的比例从19.19%下降到0.006%,信息中心实时监控实现"零"重号。结论对病案号实行规范化管理,完善相关制度,多部门紧密协作,对病案号异常情况实时监控和修正,使患者病案号的唯一性得到保障。Objective To improve the uniqueness of medical record number, to ensure continuity and accuracyof patient information and to reliably identify the patient. Methods Conduct the comparative analysis between the rate of medical card with identification of whole hospital and the medical record numbers which have same identification in May 2012 and May 2016. AUstatistical analyses were performed with SPSS 11.0 software. Results After multiple link quality control, the percentageof identity information absence ratio fell from 43.83% to 11.11%. The percentage of identity information duplicationdecreased from 19. 19% to 0. 006%. Our IT department real-time monitored the identity information to prevent informationduplication. Conclusion The patient identification can be reliable after performing standardized management of medical record number, refining the regulation rules, co-ordination with differentdepartments.

关 键 词：病案号 唯一性 身份识别 分析 

分 类 号：R197.323[医药卫生—卫生事业管理]