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                [1]王愛華 王新玲 李靈敏 於弘.死因鏈填寫質量缺陷就馬上交出金帝星分析與對策建議[J].中國衛生質量能有多少管理,2019,26(06):045-48.[doi:10.13912/j.cnki.chqm.2019.26.6.13]
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                死因鏈填寫質量缺陷分析與對策建議
                分享到:

                《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年06期
                頁碼:
                045-48
                欄目:
                醫療質量
                出版日期:
                2019-11-28

                文章信息/Info

                作者:
                王愛華 王新玲 李靈敏 於弘
                中國人民解放軍總醫院第七醫學中心
                關鍵詞:
                死因鏈死亡原因死亡病案填寫質量
                Keywords:
                Cause Chain of Death Cause of Death Death Medical Records Writing Quality
                DOI:
                10.13912/j.cnki.chqm.2019.26.6.13
                摘要:
                目的分析死因鏈填寫質量缺陷原因,提出對策建議↑,提高死因鏈填當看到半空中那道模糊寫質量。方法采⊙用回顧性分析法,對2017年7月-2018年12月的1 054份死亡①證明書中死因鏈填寫內容進行分析。結果在215例存在填寫質量缺陷的死強者在其中因 鏈中,發現存在1項或多項填寫內容質量缺陷∴的共計295頻次。其中,疾病診斷〖填寫不規範150頻次,占50.85%;死亡⌒ 原因填寫內容不完整70頻次,占23.73%;不符合格式填ω寫要求16頻次,占5.42%;與復核病案記錄內♂容不一致 59頻次,占20.00%。結論準確、完整的死因鏈可清晰展現患者的死亡原因,是死那就讓我看看因統計最重要的信息依據】。因此,醫院應加強臨床醫師的基礎知識」培◥訓,確保死因鏈填寫█的準確性,持續發揮質量監管作用等。
                Abstract:
                To analyze the causes of quality defects in death cause chain filling and take corresponding measures to improve the writing quality of the cause chain of death. MethodsThe retrospective analysis method was used to analyze the contents of the cause of death chain in the death certificate of 1,054 cases from July 2017 to December 2018.ResultsIn the 215 cases of cause of death with filling quality defects, one or more filling contents were found to have quality defects with a total of 295 times. Among them, the non-standard diagnosis was filled for 150 times, accounting for 50.85%. The cause of death was incomplete for 70 times, accounting for 23.73%. It didn't meet the format requirements for 16 times, accounting for 5.42%; and it was inconsistent with the contents of medical record review for 59 times, accounting for 20.00%.Conclusion Accurate and complete cause chain can clearly display the cause of death of patients with scientific and objective logic, which is the most important source of death report and death statistics for health departments at all levels. The hospital should strengthen the basic knowledge training of clinicians, strengthen the accuracy of the death chain filling, and continue to play the role of quality supervision,etc.

                參考文獻/References:

                [1]白俊梅,謝俊卿,武宇晨,等.影響根本死因選擇的因素◣探討[J].中國病案,2018,19(6):59-61.

                更新日期/Last Update: 2019-11-28