基于住院患者病案首页高风险病例来抽查医院感染漏报的方法探讨  

Sampling survey methods for missing report of nosocomial infections based on high-risk case filling in the front pages of medical records

作　　者：武迎宏[1] 曹煜隆 蔡虻[2] 周春莲[3] 刘聚源[2] 陈惠清[3] WU Ying-hong CAO Yu-long CAI Meng ZHOU Chun-lian LIU Ju-yuan CHEN Hui-qing(Peking University People＇s Hospital, Beijing 100044, China)

机构地区：[1]北京大学人民医院医院感染管理办公室,北京100044 [2]北京医院感染管理处,北京100005 [3]首都医科大学附属北京友谊医院感染管理科,北京100050

出　　处：《中华医院感染学杂志》2017年第12期2827-2829,共3页Chinese Journal of Nosocomiology

基　　金：中美新发和再发传染病合作基金资助项目(5U2GGH00018)

摘　　要：目的探讨抽查医院感染病例漏报的方法以期探寻抽样调查漏报病例的科学方法。方法基于住院病案首页中高风险病例的抽样方法来抽查医院感染漏报病例,将抽样调查得到的阳性率与文献报道中采用传统方法抽查的阳性率进行比较。结果 4次基于住院病案首页中高风险病例的抽样方法抽查感染病例分布率为45.30%,传统方法抽查感染病例分布率为4.64%。结论基于住院病案首页中高风险病例的抽样方法比传统抽样方法既节省人力和时间,又能比较客观地反映医院感染漏报真实情况,为进一步提高医院感染管理水平提供依据。OBJECTIVE To explore the sampling survey methods of missing report on nosocomial infections,so as to explore the scientific method of sampling investigation of missing report.METHODS Sampling survey methods based on the high-risk cases filling in the front pages of medical records were carried out,and the positive rates of sampling survey methods and the rate of traditional methods from literatures reported were compared.RESULTS The distribution of four times of sampling survey methods based on the high-risk cases filling in the front pages of medical records was 45.30%,and the distribution of traditional method was 4.64%.CONCLUSION Randomized inspection method based on the high-risk cases filling in the front pages of medical records can not only save more manpower and time than traditional methods,but also objectively reflect the missing report rate of nosocomial infections,which can provide the evidence for improving the level of nosocomial infection management.

关 键 词：医院感染 漏报率 抽样调查 

分 类 号：R183[医药卫生—流行病学]