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目的统计分析死亡医学证明书的填报质量情况,旨在提升上报数据的准确性。方法回顾性对某三甲医院2011年上报死亡数据进行统计分析。结果死亡病例521例,疾病诊断为症状或体征的比例最高,其次为各种衰竭。死亡医学证明书填报错误的主要原因是根本死因概念不清、死因链填写不规范。结论根本死因的判定是影响死亡医学证明书填报质量的关键因素,有效的死因监测管理模式,增强死因监测人才的能力建设,可有效提高填报质量。
Objective To statistic and analyze the quality of the report of death medical certificate so as to improve the accuracy of the reported data. Methods The data of deaths reported by some top three hospitals in 2011 were retrospectively analyzed. Results 521 cases of death, the highest rate of diagnosis of symptoms or signs of disease, followed by a variety of failure. Death medical certificate to fill in the main error is the concept of the root cause of death is unclear, cause of death chain filled non-standard. Conclusions The determination of the root cause of death is the key factor affecting the quality of the medical certificate of death and the effective management model of the cause of death monitoring and the ability to enhance the monitoring of the cause of death can effectively improve the quality of the filling.