国家儿童肿瘤监测数据质量控制方案构建与应用  

Construction and application of quality control program for the national pediatric cancer surveillance data

作　　者：李新平 李哲 郑荣寿 曾跃萍[3] 张啸 白国良 刘莹颖 杨卓煜 倪鑫[1] Li Xinping;Li Zhe;Zheng Rongshou;Zeng Yueping;Zhang Xiao;Bai Guoliang;Liu Yingying;Yang Zhuoyu;Ni Xin(National Center for Pediatric Cancer Surveillance,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China;National Cancer Registry Office,National Cancer Center/Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Department of Medical Record Management,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心、首都医科大学附属北京儿童医院国家儿童肿瘤监测中心,北京100045 [2]国家癌症中心/中国医学科学院北京协和医学院肿瘤医院肿瘤登记办公室,北京100021 [3]国家儿童医学中心、首都医科大学附属北京儿童医院病案管理科,北京100045

出　　处：《中华医院管理杂志》2024年第12期928-932,共5页Chinese Journal of Hospital Administration

基　　金：北京市医院管理中心培育计划项目(PG2022024);首都医科大学附属北京儿童医院研究平台专项课题(YPT202001)。

摘　　要：国家儿童肿瘤监测数据——儿童肿瘤病例报告卡(以下简称报告卡)具有来源广泛、采集方式多样化和信息量大的特征。国家儿童肿瘤监测中心(以下简称监测中心)基于监测数据的特征,通过参考国内外相关规范和标准,构建了国家儿童肿瘤监测数据质量控制方案。该方案明确了监测数据质量控制的变量、要求和规则,针对手工填报/文件导入和端口对接数据上报方式,设计了标准化的质量控制流程,并制定了一系列配套措施,以保障监测数据的全面性、准确性和规范性。监测中心通过分析2021—2023年出院患者的报告卡,发现问题报告卡数量占比由反馈前的40.6%(202185张/497538张)降至反馈后的31.1%(157725张/506817张)。该数据质量控制方案的实施,提高了国家儿童肿瘤监测数据质量,可为我国医疗领域其他注册登记系统的数据质量控制提供参考。The national pediatric cancer surveillance data known as the pediatric cancer case report card(report card),had the characteristics of wide sources,diverse collection methods and a large amount of information.Based on the characteristics of the surveillance data,the National Center for Pediatric Cancer Surveillance(surveillance center)established quality control program for surveillance data according to the relevant norms and standards from China and other countries.The program defined the variables,requirements and rules for the quality control of surveillance data.The surveillance center designed different quality control processes according to the way of data reporting including manual filling/file import and port docking,and formulated a series of supporting measures to achieve the completeness,accuracy and standardization of surveillance data.By analyzing the report cards of patients discharged from hospital from 2021 to 2023,the surveillance center found that the number of problem report cards decreased from 40.6%(202185 cards/497538 cards)before feedback to 31.1%(157725 cards/506817 cards)after feedback.The data quality control program not only improved the quality of surveillance data,but also provided references for the establishment of the data quality control program of other registration systems of medical field.

关 键 词：儿童肿瘤 监测数据 质量控制 方案构建 病例报告卡 

分 类 号：R73-31[医药卫生—肿瘤]