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目的对芜湖市死亡病例网络报告系统报告质量进行评估。方法收集2012年芜湖市网络直报死亡病例,使用报告及时率、审核及时率、常见编码错误分布等指标对芜湖市2012年死亡病例报告情况进行评价。结果 2012年芜湖市共报告死亡病例8263例,院内死亡病例所占比例为43.30%,院外死亡病例56.70%;报告及时率为84.04%,院内死亡病例报告及时性高于院外死亡病例(χ2=374.27,P<0.01);审核及时率为99.66%;有明显编码错误的比例为24.01%,其中院外死亡病例编码错误率为33.66%,院内死亡病例为11.38%,差异有统计学意义(χ2=551.90,P<0.01)。结论死因登记报告工作目前存在比较普遍的问题是死因编码质量普遍偏低,根本死因确定和编码培训工作亟待加强。
Objective To evaluate the quality of the network reporting system of death cases in Wuhu City. Methods 2012 deaths from direct network in Wuhu City were collected, and the report of 2012 death cases in Wuhu city was evaluated by using the report timely rate, the audit timely rate and the common coding error distribution. Results A total of 8263 deaths were reported in Wuhu City in 2012, accounting for 43.30% of hospital deaths and 56.70% of deaths from outpatients. The prompt reporting rate was 84.04%, and the timeliness of in-hospital deaths was higher than that of out-of-hospital deaths (χ2 = 374.27 , P <0.01). The rate of timely examination was 99.66%. The rate of obvious coding errors was 24.01%. The coding error rate of out-of-hospital deaths was 33.66%, and hospital deaths were 11.38%, the difference was statistically significant (χ2 = 551.90 , P <0.01). Conclusion At present, there is a common problem in the registration of the cause of death because the quality of the cause of death coding is generally low. The determination of the cause of death and the coding training work urgently need to be strengthened.