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目的通过对兼职模式的伤害监测(PTSIS)和专职模式的伤害监测(FTSIS)的比较,了解不同伤害监测模式对伤害监测质量的影响,为提高目前我国医院急诊室兼职伤害监测的质量提供科学依据,为政府主管部门评价医院伤害监测质量、改进伤害监测方法提供基础资料。方法在统一伤害监测流程和方法的前提下,对兼职监测人员和专职监测人员进行统一培训后,收取两组人员在一个月内(从2007年7月28日凌晨至8月27日凌晨)填写的伤害监测报告卡,经录入、审核后比较两组的漏报率和报告卡填写的质量。结果PTSIS的漏报率比FTSIS高31.44%,特别是在下半夜,两种模式均更容易漏报;两组人员在报告卡出错率方面的差异无统计学意义;兼职监测容易漏填“电话”、“发生原因”、“是否故意”3项,而专职监测容易漏填“严重程度”、“伤害结局”、“回答者”3项;“伤害过程描述”和“临床诊断”两项以兼职监测人员填写的合格率高;兼职监测人员填写完整报告卡的比例比专职监测人员高12.84%。结论PTSIS的漏报率比FTSIS高,但填表质量高于FTSIS,因此在卫生资源有限的情况下,应积极鼓励兼职人员参与伤害监测,努力提高兼职人员监测的积极性,降低漏报率,在有条件的地区可以专门培训专职人员进行伤害监测。
Objective To understand the impact of different injury monitoring modes on the injury monitoring quality by comparing the part-time injury monitoring (PTSIS) and full-time injury monitoring (FTSIS), so as to provide a scientific basis for improving the quality of part-time injury monitoring in emergency departments of our country , Provide the basic information for the government departments to evaluate the quality of hospital injury monitoring and improve the injury monitoring methods. Methods After unified training of part-time monitor and full-time monitor on the premise of unified injury monitoring process and method, two groups of staff were charged within one month (from early morning of July 28, 2007 to early morning of August 27) Of the injury monitoring report card, after entry, after reviewing the two groups of missing report rate and the quality of the report card. Results The missing rate of PTSIS was 31.44% higher than that of FTSIS. Especially in the middle of the night, both modes were more likely to miss the report. There was no significant difference between the two groups in the report card error rate. “, ” Cause “, ” intentional “3, and full-time monitoring easy to fill in ” severity “, ” hurt end “, ” respondent “3; ” The description of the injury process and the clinical diagnosis of the two high pass rate of part-time monitoring staff to fill out; part-time monitors fill the full report card ratio of 12.84% higher than the full-time monitoring staff. Conclusion The false negative rate of PTSIS is higher than that of FTSIS, but the quality of the filling form is higher than that of FTSIS. Therefore, under the condition of limited health resources, part-time personnel should be actively encouraged to participate in the monitoring of injuries, to improve the enthusiasm of part-time staff monitoring and reduce the false negative rate. Qualified areas can be specially trained full-time personnel for injury monitoring.