基于2020至2021年安徽省哨所医院质量控制数据探讨超声诊断符合率影响指标  

Evaluation of indicators influencing conformity rate of ultrasonic diagnosis based on quality control indicators in sentinel hospitals in Anhui Province from 2020 to 2021

作　　者：王佳佳 王丽丽 彭梅[1,2] 姜凡[1,2] Wang Jiajia;Wang Lili;Peng Mei;Jiang Fan(Department of Ultrasonography,The Second Affiliated Hospital of Anhui Medicine University,Hefei 230601,China;Anhui Ultrasound Medical Quality Control Center,Hefei 230601,China;Outpatient Department,The Second Affiliated Hospital of Anhui Medicine University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院超声医学科,合肥230601 [2]安徽省超声医学质量控制中心,合肥230601 [3]安徽医科大学第二附属医院门诊部,合肥230601

出　　处：《中华医学超声杂志（电子版）》2024年第1期63-68,共6页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨影响超声诊断符合率的因素。方法分析2020至2021年度安徽省哨所医院中二级医院及三级医院人员梯队以及哨所医院上传的超声质量控制指标和安徽省超声质量控制中心开展的质量控制线上专题培训情况。结果本次调查结果显示:(1)与2020年相比,2021年安徽省二级、三级哨所医院副高及以上职称医师人数均明显上升[194(20.00%)vs 128(15.67%);336(27.18%)vs 249(23.71%)]。(2)2020至2021年安徽省二级、三级哨所医院超声诊断符合率均呈上升趋势,以三级哨所医院超声诊断符合率上升明显[86.65%(1586/1830)vs 83.01%(1519/1830)]。(3)2020、2021年安徽省二、三级哨所医院超声报告书写合格率均超过90%;与2020年相比,2021年安徽省二级哨所医院超声报告书写合格率明显上升[99.40%(2326/2340)vs 93.93%(2198/2340)]。与2020年相比,2021年安徽省二级哨所医院超声仪器质量检测合格率明显上升[96.39%(321/333)vs 93.09%(310/333)]。(4)2021年安徽省质量控制专题培训次数较2020年度明显增多(53次vs 22次)。(5)2020至2021年安徽省二级哨所医院乳腺报告乳腺影像报告和数据系统(BI-RADS)分类使用率由69.15%(1618/2340)上升至82.44%(1929/2340);乳腺肿块超声诊断准确率由71.67%(1677/2340)上升至75.30%(1762/2340)。三级哨所医院乳腺报告BI-RADS分类使用率由89.62%(1640/1830)上升至93.88%(1718/1830);乳腺肿块超声诊断准确率由78.14%(1430/1830)上升至81.58%(1493/1830)。结论超声诊断符合率受诸多因素的影响,提高超声报告书写合格率,通过专题培训增进超声医师业务水平,提高乳腺病变规范化诊断,是提升超声诊断符合率的重要因素。Objective To identify the factors affecting the conformity rate of ultrasonic diagnosis.Methods The echelon of personnel in ultrasound department and ultrasonic quality control indexes uploaded by Anhui provincial sentinel hospitals(including secondary and tertiary hospitals),as well as the special training carried out by Anhui provincial ultrasonic quality control center during 2020-2021 were analyzed.Results Compared with the figures in 2020,the number of senior doctors in secondary and tertiary hospitals in Anhui Province has increased significantly in 2021[194(20.00%)vs 128(15.67%);336(27.18%)vs 249(23.71%)].From 2020 to 2021,the coincidence rate of ultrasonic diagnosis in hospitals in Anhui province showed an increasing trend,especially in tertiary hospitals[86.65%(1586/1830)vs 83.01%(1519/1830)].In 2020 and 2021,the qualification rate of ultrasound report writing in both secondary and tertiary sentinel hospitals in Anhui Province exceeded 90%.Compared with the rate in 2020,the qualification rate of ultrasound report writing in secondary sentinel hospitals in Anhui Province increased significantly in 2021[99.40%(2326/2340)vs 93.93%(2198/2340)].Compared with the rate in 2020,the qualified rate of ultrasonic instrument quality detection in secondary sentinel hospitals in Anhui Province increased significantly in 2021[96.39%(321/333)vs 93.09%(310/333)].The number of quality control training times in Anhui Province in 2021 increased significantly compared with that in 2020(53 vs 22).From 2020 to 2021,the utilization rate of BI-RADS classification and the accuracy of ultrasound diagnosis of breast masses in secondary hospitals increased from 69.15%(1618/2340)to 82.44%(1929/2340)and from 71.67%(1677/2340)to 75.30%(1762/2340),respectively.The utilization rate of BI-RADS classification and the accuracy of ultrasound diagnosis of breast masses in tertiary hospitals increased from 89.62%(1640/1830)to 93.88%(1718/1830)and from 78.14%(1430/1830)to 81.58%(1493/1830),respectively.Conclusion The conformity rate of ultrason

关 键 词：超声医学 质量控制 诊断符合率 报告合格率 

分 类 号：R445.1[医药卫生—影像医学与核医学] R197.323[医药卫生—诊断学]