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目的了解深圳市福田区医疗机构传染病报告质量,为提升报告质量提供依据。方法对福田区各级医疗机构传染病漏报资料进行分析。结果 2013-2015年福田区医疗机构传染病总漏报率1.6%(22/1 362),其中乙类漏报率1.5%(12/777),丙类1.7%(10/585),乙丙类传染病漏报率类似;门诊、住院部和检验科的漏报率分别为0.9%、1.4%和2.0%,漏报率类似;不同级别医疗机构漏报率:街道办级3.0%,区级1.0%,市级1.6%,漏报率街道办级最高;病种漏报率:细菌性痢疾0.6%、肺结核2.5%、淋病2.5%、猩红热4.5%、乙肝1.6%、其它感染性腹泻2.4%和手足口病1.0%。传染病报告及时率100.0%,报告卡填写完整率、准确率与一致率分别为98.2%、98.3%和97.2%。结论福田区传染病报告质量较高、漏报率较低。实施医院信息管理系统,是减少漏报、提高报告质量的重要措施。
Objective To understand the quality of infectious disease reporting in medical institutions in Futian District, Shenzhen, and to provide basis for improving the quality of the reports. Methods Futian District medical institutions at all levels of infectious diseases omissions data analysis. Results The total omission rate of infectious diseases in medical institutions in Futian District from 2013 to 2015 was 1.6% (22/1 362), of which 1.5% (12/777) were false negatives in Class B, 1.7% (10/585) in Class C, The rate of omission of similar infectious diseases was similar; the omission rates of outpatient department, inpatient department and laboratory department were 0.9%, 1.4% and 2.0% respectively, with a similar omission rate. The failure rate of different medical institutions was 3.0% 1.0% at the municipal level, 1.6% at the municipal level, and the rate of omission was the highest in the streets. The rate of missed cases was 0.6% for bacillary dysentery, 2.5% for tuberculosis, 2.5% for gonorrhea, 4.5% for scarlet fever, 1.6% for hepatitis B and 2.4 for other infectious diarrhea % And HFMD 1.0%. The timely reporting of infectious diseases was 100.0%. The completeness rate, accuracy rate and concordance rate of report card were 98.2%, 98.3% and 97.2% respectively. Conclusion The report of infectious diseases in Futian District has higher quality and lower false negative rate. The implementation of hospital information management system is an important measure to reduce omissions and improve reporting quality.