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目的通过某医院死亡病例网络报告资料分析,进一步规范死亡病例上报质量,为促进死亡病例网报管理工作提供依据。方法搜集某医院2009-2013年上报的死亡病例自查资料,对死亡病例网络上报情况进行及时性、一致性、准确性的分析。结果急诊科(不包含急诊病房)2009年-2013年报卡数量最多,共2826例,占报卡总数的47.13%(2826/5996)。在2010年、2011年、2012年、2013年急诊科报卡及时率分别为95.38%、98.32%、95.94%、95.74%,均低于年度报卡及时率,及时率有待提高。填写与网报不一致项目主要是诊断依据,达到1004例。根本死因填写错误最多的是肺炎/肺部感染,达到379例。结论死亡病例上报主要问题是根本死因填写和报卡时限,应通过加强培训、定期自查、健全管理制度以逐步提高上报质量。
Objective To analyze the reported data of death cases in a hospital to further standardize the quality of the reported cases of death and provide a basis for promoting the management of network deaths cases. Methods To collect the self-examination data of death cases reported by a hospital from 2009 to 2013, and to analyze the timely, consistency and accuracy of the reported death cases network. Results The emergency department (excluding the emergency ward) reported the highest number of reported cards in 2009-2013, a total of 2826 cases, accounting for 47.13% (2826/5996) of the total number of reported cards. In 2010, 2011, 2012 and 2013, the prompt card rates of emergency department cards were 95.38%, 98.32%, 95.94% and 95.74% respectively, both of which were lower than the annual report card rate in time and the prompt rate to be improved. Fill in the newspaper is inconsistent with the main project is based on the diagnosis, reaching 1004 cases. The most common causes of death were pneumonia / pulmonary infection, reaching 379 cases. Conclusion The main problem reported in death cases is the deadline for filling the deadline and the deadline for card submission. The quality of reporting should be gradually improved by strengthening training, checking self-examination regularly and perfecting management system.