2006年福建省医疗机构死亡病例监测报告质量分析

目的 提高福建省医疗机构死亡病例监测报告质量.方法 利用福建省2006年医疗机构死亡病例通过国家网络专报系统报告的传染病个案库,分析死亡病例监测报告质量及其影响因素.结果 县及县以上医疗机构报告仅占全省应报告单位的47.13%,通过医疗机构网络直报系统报告的死亡案例大约占同期全省总数的6.41%.从医生填写到网络报告7天的合格率为83.30%.死亡卡信息填写准确率为74.10%,网络直报死亡病例仍旧有18.32%的编码存在明显错误.结论 2006年医院死亡病例监测报告质量较差,应进一步加强医疗机构临床医生和编码人员的全员培训,提高医院内部管理,优化死亡病例网络直报系统,疾控机构对医疗机构的专业技术指导.

Quality analysis of death case surveillance reports in medical institutions in Fujian in 2006

Objective The study was conducted for the purpose of improving the quality of death case surveillance reports in medical institutions in Fujian. Methods The quality of death case surveillance reports and its influential factors were analyzed based on the data of infectious disease cases reported through the national network system of medical institutions in Fujian in 2006. Results Only 47.13% of county-or-higher-level medical institutions fulfilled the reporting duty in the province. The number of death cases reported through the network system accounted for 6.41% of the total in the province. The qualified rate of the seven-day process since doctors' filling reporting cards till network reporting was 83.30%. The correctness of death case reporting cards was 74.10%. In addition, apparent errors of coding still existed in 18.32% of network reported death cases. Conclusion The quality of death case surveillance reports was proved to be unqualified. Therefore, staff training for clinicians and coding stuff staff in medical institutions should be strengthened and the internal management of hospitals improved to optimize the network reporting system of death cases. Professional technical guidance from centers for disease control and prevention is also contributing.