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。 Objective To improve the quality of death surveillance reports in medical institutions in Fujian Province. [Methods] The infectious disease cases reported by the national network special report system were used in the death cases of medical institutions in Fujian Province in 2006 to analyze the quality of death cases monitoring reports and the influencing factors. Results The medical institutions at and above the county level accounted for only 47.13% of the units that should be reported in the province. Death cases reported through the medical institutions’ online direct reporting system accounted for approximately 6.41% of the total number of provinces in the same period. The qualification rate from the doctor’s completion to the network report ≤ 7 days was 83.30%. The accuracy of the death card information filling rate was 74.10%, and there were still 18.32% coding errors in the direct online deaths. Conclusion The quality of hospital death surveillance reports in 2006 was poor. The training of clinicians and coders in medical institutions should be further strengthened. Internal management of hospitals should be improved, and a direct network reporting system for death cases should be optimized. The professional and technical guidance of disease control agencies to medical institutions should be further strengthened. .