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1125例次疾病诊断不符分析
引用本文:傅万明,胡毅华,鲁磊,吴克俭,邹俊卿,盛梅,石东,张健玲,程榕梅,梅同华. 1125例次疾病诊断不符分析[J]. 医学研究生学报, 2003, 16(9): 685-689
作者姓名:傅万明  胡毅华  鲁磊  吴克俭  邹俊卿  盛梅  石东  张健玲  程榕梅  梅同华
作者单位:1. 南京军区南京总医院信息科,江苏南京,210002
2. 南京市鼓楼医院信息科,江苏南京,210008
3. 江苏省人民医院病案统计室,江苏南京,210029
4. 解放军第454医院信息科,江苏南京,210002
5. 南京市医学研究所,江苏南京,210008
6. 江苏省军区门诊部,江苏南京,210009
基金项目:南京军区南京总医院重点课题基金资助课题 (批准号 :2 0 0 3 14 6)
摘    要:
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

关 键 词:疾病诊断  诊断不符
文章编号:1008-8199(2003)09-0685-05
修稿时间:2003-05-05

Analysis of 1 125 cases disease misdiagnosis
FU Wan ming ,HU Yi hua ,LU Lei ,WU Ke jian ,ZOU Jun qing ,SHENG Mei ,SHI Dong ,ZHANG Jian ling ,CHENG Rong mei ,MEI Tong hua. Analysis of 1 125 cases disease misdiagnosis[J]. Bulletin of Medical Postgraduate, 2003, 16(9): 685-689
Authors:FU Wan ming   HU Yi hua   LU Lei   WU Ke jian   ZOU Jun qing   SHENG Mei   SHI Dong   ZHANG Jian ling   CHENG Rong mei   MEI Tong hua
Affiliation:FU Wan ming 1,HU Yi hua 2,LU Lei 3,WU Ke jian 4,ZOU Jun qing 1,SHENG Mei 1,SHI Dong 1,ZHANG Jian ling 1,CHENG Rong mei 5,MEI Tong hua 6
Abstract:
Objectives:To understand the disease diagnostic level and accuracy in four comprehensive hospitals,and sum up the experience and lesson of misdiagnosis,in order to give reference to clinical doctors. Methods:To find out respectively the case numbers of the disease misdiagnosis in four hospitals in 2002 with computors,read the cases directly with computors or mannuly,classify and make statistics,and analyse retrospectively the misdiagnosis cases. Results and Conclusions:The misdiagnosis cases account for 1.38% of the general in hospital cases in four hospitals in 2002,among them the 1st and 2nd misdiagnosis cases account for 0.92% and 0.45% of the general in hospital cases,which is lower than those in reference .The misdiagnosis cases in medical and surgical departments have no obvious difference.
Keywords:Disease diagnosis  Misdiagnosis
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