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目的 : 了解四所综合型医院对疾病的诊断水平和正确程度 ,总结出诊断不符的相关经验教训 ,以供临床医师参考。 方法 :用计算机分别查出 2 0 0 2年中四所医院疾病诊断不符的病案号 ,人工或在微机上直接阅读病历 ,分类统计有关内容 ,回顾分析诊断不符情况。 结果和结论 :四所医院 2 0 0 2年中疾病诊断不符数占总收容数的 1.38% ,其中第一和第二诊断不符数分别占总收容数的 0 .92 %和 0 .4 5 % ;比文献 [1]有所降低。内、外科系统诊断不符数无明显差异
OBJECTIVE: To understand the diagnosis and correctness of the diseases in the four general hospitals, and to summarize the relevant experiences and lessons of the diagnosis discrepancies for reference by clinicians. Methods: A computer was used to detect the medical record numbers of the four hospitals which were not consistent with the diagnosis of the disease in 2002. The data were read manually or on the computer directly, and the relevant contents were classified and analyzed retrospectively. RESULTS AND CONCLUSION: The disagreement of disease diagnosis in four hospitals in 2002 accounted for 1.38% of the total number of cases. Among them, the first and the second diagnosis discrepancies accounted for 0.92% and 0.45% of the total number of cases respectively, ; Lower than the literature [1]. Internal and surgical system diagnostic discrepancies no significant difference