2014年贵州省贵阳市医疗机构纸质传染病报告卡填写质量调查分析

Evaluation of quality of reporting cards of communicable diseases in Guiyang,2014

目的了解贵阳市医疗机构传染病报告卡填写情况,为进一步提高传染病报告质量提供依据。方法采用普查的方法,对贵阳市各级医疗机构开展调查。结果贵阳市2014年医疗机构纸质传染病报告卡填写完整率为94.51%,准确率为89.35%,一致率为83.62%。完整率乡级医疗机构最低,准确率各级医疗机构无差异,一致率县级医疗机构最低,各区、县医疗机构传染病报告卡片填写质量有差异。结论强化医疗机构传染病疫情管理,规范临床诊疗记录登记,切实落实疫情管理制度;加强传染病报告质控和督导考核势在必行,同时,应加快推进医疗机构传染病疫情报告管理工作的信息化建设,减轻临床医生工作负担。

Objective To understand the quality of the reporting cards of communicable diseases from medical institutions of Guiyang,Guizhou province and provide evidence for the improvement of communicable disease reporting quality. Methods The survey was conducted in the medical institutions at all levels in Guiyang. Results The complete rate of the reporting cards was 94. 51%,the accurate rate was 89. 35% and the consistent rate was 83. 62% in Guiyang in 2014. The complete rate was lowest at township level,the accurate rate had no level specific difference,and the consistent rate was lowest at county level. The quality of the reporting cards varied among the medical institutions at county（ district） level. Conclusion It is necessary to strengthen the management of communicable diseases,standardize the clinical diagnosis record and improve the quality control of communicable disease reporting. Meanwhile,the electronic reporting system is needed to improve or establish in medical institutions at all levels.