黄文龙, 洪荣涛, 章灿明, 谢忠杭, 吴珍红. 2006年福建省医疗机构死亡病例监测报告质量分析[J]. 疾病监测, 2007, 22(11): 757-759. DOI: 10.3784/j.issn.1003-9961.2007.11.757
引用本文: 黄文龙, 洪荣涛, 章灿明, 谢忠杭, 吴珍红. 2006年福建省医疗机构死亡病例监测报告质量分析[J]. 疾病监测, 2007, 22(11): 757-759. DOI: 10.3784/j.issn.1003-9961.2007.11.757
HUANG Wen-long, HONG Rong-tao, ZHANG Can-ming, XIE Zhong-hang. et al., . Quality analysis of death case surveillance reports in medical institutions in Fujian in 2006[J]. Disease Surveillance, 2007, 22(11): 757-759. DOI: 10.3784/j.issn.1003-9961.2007.11.757
Citation: HUANG Wen-long, HONG Rong-tao, ZHANG Can-ming, XIE Zhong-hang. et al., . Quality analysis of death case surveillance reports in medical institutions in Fujian in 2006[J]. Disease Surveillance, 2007, 22(11): 757-759. DOI: 10.3784/j.issn.1003-9961.2007.11.757

2006年福建省医疗机构死亡病例监测报告质量分析

Quality analysis of death case surveillance reports in medical institutions in Fujian in 2006

  • 摘要: 目的 提高福建省医疗机构死亡病例监测报告质量.方法 利用福建省2006年医疗机构死亡病例通过国家网络专报系统报告的传染病个案库,分析死亡病例监测报告质量及其影响因素.结果 县及县以上医疗机构报告仅占全省应报告单位的47.13%,通过医疗机构网络直报系统报告的死亡案例大约占同期全省总数的6.41%.从医生填写到网络报告7天的合格率为83.30%.死亡卡信息填写准确率为74.10%,网络直报死亡病例仍旧有18.32%的编码存在明显错误.结论 2006年医院死亡病例监测报告质量较差,应进一步加强医疗机构临床医生和编码人员的全员培训,提高医院内部管理,优化死亡病例网络直报系统,疾控机构对医疗机构的专业技术指导.

     

    Abstract: Objective This study was conducted to evaluate the quality of direct network report for HIV/AIDS and get the message of problems lied in, with the purpose of improving the qualily of work and providing reference basis for management index drawn up. Methods Real time database of HIV/AIDS and related tables reported by direct report network system in 2006 were downloaded on January 1,2007, and then statistical analysis was conducted on direct reported cases of HIV/AIDS by different factors that influenced report quality. Results Of the cases reported in 2006, part of the non-required fields such as ID card number, telephone and work unit etc. were poorly filled in. Some were even incorrectly filled in and logic mistakes existed between route of infection and contact history. More than 70% cases were reported in 30 days after WB confirmation or diagnosis, in which 41.2% were reported within 1-7 days(in 5 workdays) and 59.3% within 1-15(in 10 workdays). Case survey was conducted on 16 341(45.7%) of all the non-detained persons and reported by the direct report network system. 7879(22.0%) cases were followed up and reported. Conclusion Since the implementation of the direct report network for HIV/AIDS, the seasoning of HIV/AIDS reporting was improved in some extend while the proportions of case survey and follow-up in national wide were relatively low. Pertinent work and improvement should be strenghtened on the new version of the system.

     

/

返回文章
返回