论文部分内容阅读
目的:通过余姚市基层远程医学影像会诊中心对乡镇、街道等基层卫生院放射科的影像质量进行分析,并制定相应的改进措施,提高其影像质量。方法:随机抽取2010年7月到12月基层远程医学影像会诊中心成立初期及2011年1月到6月的乡镇及街道卫生院的影像会诊片各2 000例,每片记录影像质量及报告修改与否。结果:2010年7月到12月2 000例会诊片中,甲级片790例,乙级片1 050例,丙级片(影响诊断)160例;诊断报告未修改1 292例,修改报告610例,严重错误(漏诊或误诊)98例。2010年底,基层远程医学影像会诊中心针对存在的问题,对会诊医院的放射科医生进行了一系例的教育与培训措施,2011年1月到6月2 000例会诊片中,甲级片1 262例,乙级片661例,丙级片(影响诊断)77例;诊断报告未修改1 758例,修改报告205例,严重错误(漏诊或误诊)37例。结论:通过基层远程医学影像会诊中心的运作,明显提高了乡镇、街道卫生院的摄片质量及报告质量,提高了基层卫生院放射科医生的业务水平,避免了较多的漏、误诊病例,明显减少了医疗纠纷的发生,提高了乡镇、街道卫生院的总体素质与实力。
OBJECTIVE: To analyze the imaging quality of radiology department of township hospitals and streets and other grassroots hospitals through Yuyao primary telemedicine consultation center, and to develop corresponding improvement measures to improve its image quality. Methods: Randomly select 2 000 cases of video consultation at township and street hospitals in the initial stage of establishment of primary telemedicine consultation center from July to December 2010 and January to June 2011, each record video quality and report modification Or not. Results: From July to December 2010, there were 2 090 consultation films including 790 Grade A films, 1 050 Grade B films and 160 Grade C films (diagnosis of impact); 1 292 cases were not revised in the diagnosis report, 610 Cases, serious errors (missed or misdiagnosed) 98 cases. At the end of 2010, the primary telemedicine consultation center conducted a series of education and training on the existing problems for radiologists in the consultation hospitals. Of the 2 000 consultation films from January to June 2011, Grade A films 1 There were 262 cases of grade B, 661 cases of grade B and 77 cases of grade C (impact diagnosis). There were 1 758 cases without modification in the diagnosis report, 205 cases with modification reports and 37 cases with serious errors (misdiagnosis or misdiagnosis). Conclusion: Through the operation of primary telemedicine consultation center, the quality of radiography and reporting of township hospitals and street hospitals are obviously improved, the professional level of radiologists in primary hospitals is improved, more cases of missed diagnosis and misdiagnosis are avoided, Significantly reduce the incidence of medical disputes and improve the overall quality and strength of townships and street hospitals.