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[目的]掌握三明市县级及以上医疗机构死亡病例报告质量。[方法]利用三明市2007年网络直报系统的死因监测个案库,评价死亡病例报告质量。[结果]2007年死亡病例报告率为76.9%,审核率为99.3%;共报告1 475张死亡报告卡,“死亡—录入”总的P50为3.0 d,7 d及时率为72.4%,各县之间7 d录入及时率差异有显著性(2=143.85,P<0.01),“录入—审核”总的P50为1.0 d,24 h内及时率为61.2%;不同县级疾控机构的“录入-审核”差异有显著性(F=144.12,P<0.01)。报告死亡病例占总人群死亡数的比例平均为10.7%(占实际医院总死亡数的27.4%);死因编码错误率11.6%。[结论]通过加强督导检查,逐级培训人员,强化医院内部管理,完善疾控机构自身建设,切实提高县级及以上医疗机构死亡病例报告质量。
[Objective] To master the report quality of death cases in medical institutions at county level and above in Sanming City. [Methods] Using the case monitoring database of death causes of network direct reporting system in Sanming City in 2007, the quality of the death cases was evaluated. [Results] The reported rate of death cases in 2007 was 76.9% and the audit rate was 99.3%. A total of 1 475 death report cards were reported. The total P50 of “death-entry” was 3.0 days, and the timely rate of 7 days was 72.4% There was a significant difference in the 7-day entry rate between two counties (2 = 143.85, P <0.01). The overall P50 of “entry-review” was 1.0 d and the prompt rate was 61.2% within 24 h. Control institutions “entry - audit ” difference was significant (F = 144.12, P <0.01). The reported deaths accounted for 10.7% of the total population deaths (27.4% of actual hospital deaths); the cause of death coding error rate was 11.6%. [Conclusion] By strengthening the supervision and inspection, train personnel step by step, strengthen the internal management of hospitals, improve the self-construction of disease control institutions and effectively improve the quality of the report of death cases in the medical institutions at the county level and above.