培训与管理相结合促进综合性医院恶性肿瘤报告的规范运行

目的 探讨适宜综合性医院恶性肿瘤报告管理的方法并分析其效果.方法 综合性医院依据卫生行政部门的恶性肿瘤报告有关要求,制订医院的恶性肿瘤报告管理制度和流程,明确填报人及管理人员的职责,加强恶性肿瘤报告的培训,定期督导、考评,逐渐利用医院信息系统监控恶性肿瘤报告实况.结果 2006-2010年某综合性医院恶性肿瘤报告数量呈上升趋势,漏报率、迟报率逐年明显下降,报告卡的合格率各年度有差异,报告卡合格率逐年上升,差异有统计学意义（P＜0.05）；随着医院职工的恶性肿瘤报告培训率的提高,恶性肿瘤报告及时率有明显的提高.结论 综合性医院要利用自身条件制订科学的、操作性强的恶性肿瘤报告管理制度和流程,注意培训与管理相结合以提高医务人员的恶性肿瘤报告意识,逐渐规范恶性肿瘤报告工作.

Standardization of Malignancies report in General Hospital promoted by combination of training and management

Objective To explore appropriate management of cancer report for general hospital and analyze the effect.Methods Based on the requirements of cancer report for general hospital that formulated by the health administrative departments,we set the rule and process of malignancy report.We clear the responsibilities of reporting and the management,strengthen the training of malignancies report,make regular supervision and evaluation,and gradually use information live system to monitor malignancies report.Results In 2006-2010,the number of reports of malignancy in our general hospital has a upward trend.The false negative rate and delaying rate decreased year by year.The pass rate of the report card increased year by year,and the difference was statistically significant （＜0.05）.With the increase of the rate of training for malignancies report,rate of timely report increased significantly.Conclusion General hospitals should use their own conditions to the development of scientific and operational report management systems and processes for malignancies.Attention should be paid to the combine of training and management and the gradual standardizing of the malignancies reporting.