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目的:分析新疆维吾尔自治区国家级危重孕产妇医院监测工作中存在的问题,为提高监测质量提供依据。方法:对2013年危重孕产妇监测医院上报的《孕产妇个案调查表》和网络直报系统中的信息进行回顾性分析,通过对部分报表进行网络直报发现监测工作中存在的问题。结果:38.00%的监测机构住院孕产妇数漏报严重,估算住院孕产妇漏报率为13.24%,漏报率最高达66.57%;孕产妇个案调查表存在较多的缺漏项及逻辑错误;危重孕产妇监测网络直报系统设计不利于正确掌握住院孕产妇数量。结论:住院孕产妇漏报率亟需降低;《孕产妇个案调查表》填报质量有待提高;危重孕产妇监测网络直报系统需适当调整。
Objective: To analyze the existing problems in the monitoring of the state-level critical maternity hospital in Xinjiang Uygur Autonomous Region and provide the basis for improving the monitoring quality. Methods: A retrospective analysis was conducted on the “Maternal Case Questionnaire” and the information in the network direct reporting system reported by the Critical Maternal Monitoring Hospital in 2013. The problems in the monitoring work were found through the network direct reporting of some reports. Results: 38.00% of the monitoring institutions inpatient maternal missed a serious omission, estimates of hospital maternal omission rate was 13.24%, false positive rate of 66.57%; maternal questionnaire there are more missing items and logic errors; critical Maternal monitoring network reporting system design is not conducive to correctly grasp the number of hospitalized pregnant women. Conclusion: The false negative rate of hospitalized pregnant women needs to be reduced urgently; the quality of filling in the “Maternal Questionnaire” needs to be improved; the direct reporting system of critical maternal monitoring needs to be adjusted appropriately.