薛志强, 吴传安, 李基, 张锦青, 杨伟康. 医院传染病漏报调查与报卡质量评价[J]. 疾病监测, 2005, 20(11): 590-593. DOI: 10.3784/j.issn.1003-9961.2005.11.590
引用本文: 薛志强, 吴传安, 李基, 张锦青, 杨伟康. 医院传染病漏报调查与报卡质量评价[J]. 疾病监测, 2005, 20(11): 590-593. DOI: 10.3784/j.issn.1003-9961.2005.11.590
XUE Zi-qiang, WU Chuan-an, LI Ji, ZHANG Jin-qing, YANG Wei-kang. Investigation on Nosocomial Failure in Report of Infectious Diseases and Quality Evaluation on Report Cards[J]. Disease Surveillance, 2005, 20(11): 590-593. DOI: 10.3784/j.issn.1003-9961.2005.11.590
Citation: XUE Zi-qiang, WU Chuan-an, LI Ji, ZHANG Jin-qing, YANG Wei-kang. Investigation on Nosocomial Failure in Report of Infectious Diseases and Quality Evaluation on Report Cards[J]. Disease Surveillance, 2005, 20(11): 590-593. DOI: 10.3784/j.issn.1003-9961.2005.11.590

医院传染病漏报调查与报卡质量评价

Investigation on Nosocomial Failure in Report of Infectious Diseases and Quality Evaluation on Report Cards

  • 摘要: 目的了解医院疫情报告质量,为制定控制策略提供科学依据。方法按《全国法定传染病漏报调查方案》中的医院漏报调查要求开展调查。结果共查出乙、丙类传染病124例,漏报38例,漏报率30.65%。门诊部漏报率(54.76%)显著高于住院部(18.29%)(字2=17.38,P<0.001)。门诊部传染病诊治科的漏报率(33.33%)明显低于其他非传染病诊治科(70.83%)(字2=5.84,P<0.01)。传染病报告的迟报率8.06%,已报传染病卡片中“职业”、实验诊断”和“住址”的填写缺项率分别为12.10%,10.48%和7.26%。结论医院传染病漏报主要来自门诊中非传染病诊治科的医生。加强临床医生对疫情报告的培训;建立和完善医院内部的疫情报告管理机制;加大传染病监督与执法力度是提高医院疫情报告及时率和准确率的关键性措施。

     

    Abstract: Objective This study was intended to understand the reporting quality of epidemic situation in hospitals so as to provide a scientific basis for the establishment of control strategies against diseases.Methods Investigation was carried out according to the requirements regulated in the “National investigation scheme for failure in report of legal infectious diseases” on failure of report in hospitals.Results 124 cases of type B and C infectious diseases altogether were found,with 38 cases of failure in report and a fail-to-report rate of 30.65%.The rate of failing to report of the out—patient clinic (54.76%) was higher than that of the in—patient dept.(18.29%) notably (X2=17.38,PX2=5.84,P<0.01).The rate of delay in report of infectious diseases was 8.06% and the rate of missing in filling “occupation”.“test and diagnosis”and”address”in the card was 12.10%。10.48% and 7.26% respectively.Conclusion The failure in report of nosocomial infectious diseases mainly comes from doctors in depts.of diagnosis and treatment of non—infectious diseases in the out—patient clinic.To Strengthen clinician’S training of epidemic situation report,set up and perfect the sys tem of management on epidemic situation report inside hospitals and enhance the supervision and legal execution of infectious diseases are key measures to improve the in-time report rate and accuracy of epidemic situation in hospitals.

     

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