某医院近五年死亡病例报告质量分析  

Quality analysis of death case reports in the First Affiliated Hospital of Xinjiang Medical University in recent five years

作　　者：潘文娟[1] 刘艳[1] 张建新[1] PAN Wenjuan;LIU Yan;ZHANG Jianxin(Department of Infection Management,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院感染管理科,乌鲁木齐830054

出　　处：《公共卫生与预防医学》2020年第4期45-49,共5页Journal of Public Health and Preventive Medicine

基　　金：新疆维吾尔自治区哲学社会科学研究规划基金资助项目(14BGL049);新疆医科大学人文社会科学基金项目(2016XYFG25)。

摘　　要：目的了解新疆医科大学第一附属医院近五年死亡病例报告情况,提出死亡病例报告质量改进与提高的措施。方法分析新疆医科大学第一附属医院2014年1月1日至2019年7月31日期间死亡登记报告信息系统上报的死亡病例,对报告时效性、根本死因报告质量、根本死亡原因分布情况等多项指标进行评价。结果近五年死亡病例死亡地点主要为医疗卫生机构,男性多于女性,年龄多集中于>60岁且≤80岁群体,离退休人员居多,初中及以下学历者居多,诊断依据多为临床+理化。死亡时间与医生填卡日期不同比例、死亡时间与医生填卡日期超过7天比例呈逐渐递减趋势。2017年直接导致死亡的疾病与根本死亡原因不一致比例、直接导致死亡的疾病与根本死亡原因ICD编码不同比例居于首位。死亡病例根本死亡原因前三位依次为:死因编码I类、C类、J类。结论新疆医科大学第一附属医院近五年死亡病例报告时效性逐年提高,但死因编码错误率较高,根本死因确定工作有待提升。Objective To understand the report of death cases in the First Affiliated Hospital of Xinjiang Medical University in the past five years,and to put forward measures to improve the quality of death case reports.Methods The death cases reported by the death registration information system of the First Affiliated Hospital of Xinjiang Medical University from January 1,2014 to July 31,2019 were analyzed,the timeliness of the report,the quality of the report of the root cause of death and the distribution of the root cause of death were evaluated.Results In the past five years,the main places of death were medical and health institutions.Males were significantly more than females.Ages were more concentrated in groups over 60 years old and under 80 years old.They were mostly retirees and those with junior high school or below education.Most of the diagnostic criteria were clinical+physical and physicochemical.The proportion of the time of death differ from the date of filling in the card and the proportion of the time of death differ from the date of filling in the card exceeding 7 days were gradually decreasing.The proportion of diseases directly leading to death differ from the underlying causes of death,and the proportion of diseases directly leading to death differ from ICD codes of underlying causes of death ranked first in 2017.The top three causes of death in the case of death are in turn:cause codes I,C,and J.Conclusion The timeliness of death case report in the First Affiliated Hospital of Xinjiang Medical University has increased year by year in recent five years,but the error rate of death cause coding is high,and the work of determining the underlying cause of death needs to be improved.

关 键 词：新疆医科大学第一附属医院 死亡病例 报告质量 

分 类 号：R181[医药卫生—流行病学]