论文部分内容阅读
目的通过统计某三甲医院三年病案首页信息数据,分析医院主要住院病种的部分质量控制指标,为医疗质量管理提供依据。方法统计2009年-2011年所有出院病人病案首页的部分信息,选择该医院具有代表性的十个病种,对围手术期死亡率等主要质量控制指标进行分析,并与全国300家同级综合医院的数据进行比对。结果围手术期住院死亡率2009年-2011年均高于统计医院基准值0.10%;住院患者压疮发生率2010年和2011年均高于统计医院基准值0.05%;主要病种的病死率符合要求;大部分病种的再入院率高于平均水平。结论部分病种控制指标仍有差距,需要提高病案首页信息的质量,强化信息反馈工作,保证单病种的规范管理。
Objective By analyzing the information of the first page of case information of a top three hospital, the paper analyzes some quality control indexes of the main inpatients of the hospital and provides the basis for the medical quality management. Methods According to the statistics of the first page of all the cases of discharged patients from 2009 to 2011, ten representative diseases of the hospital were selected to analyze the main quality control indexes such as perioperative mortality rate, Hospital data for comparison. Results The perioperative hospital mortality rate was higher than the statistical hospital baseline value of 0.10% from 2009 to 2011. The prevalence of pressure ulcers in hospitalized patients was higher than 0.05% of the statistical hospital baseline in 2010 and 2011. The mortality rates of major diseases were in line with Requirements; readmission rates for most diseases are above average. Conclusion There are still some gaps in the control index of some disease types. There is a need to improve the quality of information on the first page of medical records, strengthen information feedback and ensure the standardized management of single disease types.