CAJ | 학술논문

目的：提高死亡病例网络直报的质量，为全人群的死因监测，提供及时、准确的信息来源；方法某院分析了2013年死亡病例网络直报存在漏报、错报及迟报的问题与原因，采取健全死亡病例网络直报的管理制度，依托医院病案管理信息系统，加强死亡病例网络直报漏报、错报及迟报的管理；结果2014年1月-6月住院死亡病例漏报数、迟报数与错报数为零，门诊与急诊的迟报与错报率仅为0.25%；结论通过建立长效的死亡病例网络直报的管理机制，对死亡病例网络直报进行全面的质量管理保证了死亡病例网络直报的及时性、完整性及准确性。
목적：제고사망병례망락직보적질량，위전인군적사인감측，제공급시、준학적신식래원；방법모원분석료2013년사망병례망락직보존재루보、착보급지보적문제여원인，채취건전사망병례망락직보적관리제도，의탁의원병안관리신식계통，가강사망병례망락직보루보、착보급지보적관리；결과2014년1월-6월주원사망병례루보수、지보수여착보수위령，문진여급진적지보여착보솔부위0.25%；결론통과건립장효적사망병례망락직보적관리궤제，대사망병례망락직보진행전면적질량관리보증료사망병례망락직보적급시성、완정성급준학성。
Objective In order to improve the quality of direct network report of the death cause, and provide timely accurate information sources for death surveillance of the whole population Methods The problems and reasons of omissions, misstatements and delaying the case of the network in one hospital death in 2013 were analyzed, relying on the hospital medical record management information system, and the strength the management of deaths of direct network. Results No omission, misstatements and delaying case appeared from January to June in 2014, and the misstatements and delaying rate of outpatient and emergency department was 0.25%. Conclusion The long-term management mechanism should be built, take total quality control to the quality of direct network report of the death cause, ensure the timeliness, integrity and accuracy of the direct network report of the death cases.