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目的 :了解医院突发事件监测机构的设置及相关监测内容 ,为寻找合理的监测指标、完善医院日常监测、建立突发事件监测系统提供科学依据。 方法 :选取北京某区医院为研究现场 ,对该区所有二级和三级医院 (共计 1 5所 )进行问卷调查 ,并回顾门 /急诊量的变化及药品销售量情况。 结果 :5 3.3%的医院现行监测机构设在门 /急诊 ,其余设在其他部门。三级医院监测资料分析周期为每周 ,二级医院为每月。1 5所医院不同程度地对就诊人员的性别、年龄、职业等 1 1项内容实施监测。2 0 0 2年和 2 0 0 3年的 1～ 6月门 /急诊量变化趋势以 3月份为分界点 ,3月份之前基本一致 ;2 0 0 3年 3月份后的门 /急诊量开始与 2 0 0 2年的曲线分离。 SARS流行期间对比往年同期水平销售量增幅最大的药品依次为抗病毒类药、抗生素类药、中药、免疫制剂。结论 :门急诊是医院的重点监测部门 ,监测项目中的人群特征不可忽视。医院门 /急诊量及药品销售变化对突发事件具有警示作用 ,是亟待挖掘的监测指标
OBJECTIVE: To understand the setting of hospital emergency monitoring institutions and the related monitoring contents, and to provide scientific basis for finding reasonable monitoring indexes, perfecting the daily monitoring of hospitals and establishing the emergency monitoring system. Methods: A hospital in a district of Beijing was selected as the research site. All secondary and tertiary hospitals (15 in total) in the district were surveyed and the gate / emergency volume changes and drug sales volume were reviewed. Results: 3.3.3% of existing hospital monitoring agencies are located in gates / emergency departments and the rest are in other departments. Third-tier hospital monitoring data analysis cycle for each week, two hospitals for each month. Fifteen hospitals monitored the gender, age, occupation and other 11 items of the medical staff to varying degrees. The trend of door / emergency volume from January to June 2002 and 2006 was the same as that of March, which was basically the same before March; the door / emergency volume after March 2003 was Curve separation in 2002. During the SARS epidemic during the same period last year, the largest increase in the level of sales of drugs followed by anti-viral drugs, antibiotics, traditional Chinese medicine, immune agents. Conclusion: Outpatient and emergency department are the key monitoring departments of the hospital. The characteristics of the population in the monitoring project can not be ignored. Hospital gate / emergency volume and drug sales changes have a warning effect on emergencies, which is a monitoring indicator to be tapped