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目的分析住院患者更名原因及存在的安全隐患,提出减少患者更名的有效对策。方法对更名人次、住院科室、身份类别和患者来源等信息进行分类汇总,计算各类人群比重,采用结构变动度对比分析。结果 2010-2012年医院住院人次和更名人数年均增长速度分别为19.14%、26.47%,主要分布在创伤骨科、神经外科、新生儿科和妇科等科室,且约40%的患者更名为非同音字、全名更改的增长较快,2012年更名患者中医保、农合患者高达96.4%,50%以上来自市辖各县。结论患者更名存在诸多隐患,影响了公共卫生资源的有效利用,因此强化医院内部管理、加强患者身份验证、规范病人更名流程和推广就医“实名制”是应对更名发生的有效途径。
Objective To analyze the causes and existing hidden dangers of hospitalized patients and put forward effective countermeasures to reduce the patients’ names. Methods The information such as the number of renaming, hospitalization department, type of identity and source of patient were classified and summarized, and the proportion of all kinds of people was calculated. The comparative analysis of structural change was used. Results The average annual growth rate of inpatients and renaming in hospitals from 2010 to 2012 were 19.14% and 26.47% respectively, mainly distributed in orthopedics department, neurosurgery department, neonatology department and gynecology department. About 40% of patients were renamed as non-homophone , The change of full name is growing rapidly. In 2012, the name of Medicines and Medicines in Renamed People’s Hospital of China was as high as 96.4%. More than 50% came from counties under municipal administration. Conclusion There are many hidden dangers in the renaming of patients, which affects the effective utilization of public health resources. Therefore, it is an effective way to strengthen the internal management of hospitals, strengthen the authentication of patients, standardize the procedure of renaming patients and promote medical treatment.