75例可疑诊断病例相关因素分析

Related Factors Analysis on 75 Cases of Suspisious Diagnosed Patients

目的了解我院可疑诊断病例的比例、住院天数、平均住院费用、病种分布、会诊情况5个指标的数值,为我院对可疑诊断病例的质量控制与管理提供科学依据。方法利用可疑诊断检索技术体系中的其中一种方法"扩展码"对该院2011年6月-2012年8月的出院病例进行检索,并作出回顾性的统计分析。结果在研究范围内共检索出75份可疑诊断病例,占同期出院病人的0.44%,平均住院天数为3.6天,平均住院费用为3100.4元;病人3天会诊率为零,4天及4天以上会诊率为68.97%,其中4-6天会诊率只有51.72%;科内会诊率26.67%,科间会诊率4.67%,全院会诊率只有1.33%;其中住院3天的会诊率为零,住院4天及4天以上的科间会诊和全院会诊率均为零;在病种上恶性肿瘤排在第一位。结论该院可疑诊断病例的诊断水平在合理范围内,平均住院时间相对较短,没有大额医疗的行为,但会诊制度有待完善,会诊范围有待扩大,肿瘤专业是薄弱学科,应重视这个学科的建设及人才的配备。

Objective To investigate the number of five indicators among suspicious diagnosed cases in our hospital, such as pro- portion, hospitalized days, average hospitalized expenses, diseases distribution and consultations, then provide scientific accordance to the quality control and management of suspicious diagnosed cases. Methods One method of the susupicious diagnosed searching tech- nology system called ＂Expand Code＂ was applied to search the cases of patients left our hospital from June, 2011 to August, 2012, then conducted a retrospective statistical analysis of these cases at the same time. Retmlts 75 cases of susupicious diagnosed patients were searched out in this period, which took a percent of 0.44% in corresponding time. The average days stay in hospital was 3.6 days, average hospitalized expense was 3100.4 yuan, the consultation rate within three days was 0, four days or more was 68.97 %, four to six days was 51.72%, within own department was 26.67%, 4.67% among departments, within the whole hospital was 1. 33%. Among which the consultation rate within three days was 0, as well as the rate of consultation among departments and within whole hospital, and the malignancy tumor was ranked the first place in this aspect. Conclusion The diagnosis level of suspicious diag- nosed patients was within reasonable range, the average time of stay was relatively short and no big deal medical treatment behaviors were found in this hospital. But the system of consultation is still necessary to improve, and the range is needed to enlarge. The major of tumor is a weak department in this hospital, so we should pay more attention to the development of this discipline and the allocation of talents.