目的探索基于放射科信息系统/图像归档和通信系统(radiology information system/picture archiving and communication systems,RIS/PACS)的等级评分报告质量控制系统在放射科住院医师规范化培训(简称住培)中的应用效果。方法选取2020...目的探索基于放射科信息系统/图像归档和通信系统(radiology information system/picture archiving and communication systems,RIS/PACS)的等级评分报告质量控制系统在放射科住院医师规范化培训(简称住培)中的应用效果。方法选取2020年4-10月重庆医科大学附属大学城医院10名放射科住培医师作为研究对象,比较实施等级评分报告质量控制系统前1个月和实施后第6个月的报告质量的差评率。结果实施等级评分报告质量控制系统后第6个月的报告评价差评率(1.16%)低于实施前1个月(3.97%),差异有统计学意义(P<0.05)。结论基于RIS/PACS的质量评价能更好地完成放射科住院医师规范化培训,提升学员的主观能动性和核心岗位胜任能力,减少报告评价差评率。展开更多
BACKGROUND:The Joint Commission accreditation manual contains standards in improving organization performance related to report and review of patient care issues causing unexpected harm.In spite of regulations mandati...BACKGROUND:The Joint Commission accreditation manual contains standards in improving organization performance related to report and review of patient care issues causing unexpected harm.In spite of regulations mandating reporting,it remains inconsistent,varying by provider type and hospital.Our purpose was to determine current attitudes,knowledge,and practice of error reporting among emergency department(ED) providers.METHODS:We administered a survey assessing ED staff practice regarding error reporting.Questions involved reporting of errors in which the practitioner was directly involved,errors the practitioner observed,and general awareness of reporting mandates.We also questioned individuals regarding fear of repercussions for reporting.RESULTS:Fifty-two surveys were returned.For most errors,providers were more likely to tell their supervisor about the issue than to tell the patient.Seventeen percent of respondents did not think that referring errors for review was their job.Only 31%of respondents were aware of standardized institution-wide pathways to report errors.Any respondent who was aware of the institution-wide pathway also felt responsibility for error reporting.Thirty-three percent of the respondents were concerned about negative repercussions from reporting errors.In querying the hospital reporting system,263 cases were referred for quality issues over the previous year,51%of them were referred by nurses,27%by medical technicians(MTs),2%by mid-level providers(MLPs),1%by physicians,and 19%by other personnel.CONCLUSION:Although most of the ED staff are responsible for patient safety,most are not aware of systems available to assist in reporting,and even many do not utilize those systems.展开更多
目的掌握吉林省各级医疗机构法定传染病信息报告质量,为提升全省传染病信息报告质量提供依据。方法运用多阶段分层随机抽样方法调查2018—2021年吉林省不同级别医疗机构法定传染病报告情况,采用优劣解距离(technique for order preferen...目的掌握吉林省各级医疗机构法定传染病信息报告质量,为提升全省传染病信息报告质量提供依据。方法运用多阶段分层随机抽样方法调查2018—2021年吉林省不同级别医疗机构法定传染病报告情况,采用优劣解距离(technique for order preference by similarity to an ideal solution,TOPSIS)法进行综合质量评价。结果2018—2021年,对吉林省内134家医疗机构开展调查,其中省级5家,地市级32家,县区级47家,乡镇级50家;法定传染病报告率为96.89%,报告及时率为99.75%,纸质(电子)传染病报告卡填写完整率为99.82%,纸质报告卡填写准确率为95.93%,网络报告信息一致率为93.47%,报告卡有效证件号填写完整率为99.79%。TOPSIS法综合评价结果显示,各级别医疗机构传染病报告综合质量从高到低依次为省级、乡镇级、地市级、县区级。结论吉林省医疗机构传染病网络直报质量整体较好,但仍存在报告不及时和不准确等问题,应继续提升医疗机构传染病报告水平。展开更多
文摘目的探索基于放射科信息系统/图像归档和通信系统(radiology information system/picture archiving and communication systems,RIS/PACS)的等级评分报告质量控制系统在放射科住院医师规范化培训(简称住培)中的应用效果。方法选取2020年4-10月重庆医科大学附属大学城医院10名放射科住培医师作为研究对象,比较实施等级评分报告质量控制系统前1个月和实施后第6个月的报告质量的差评率。结果实施等级评分报告质量控制系统后第6个月的报告评价差评率(1.16%)低于实施前1个月(3.97%),差异有统计学意义(P<0.05)。结论基于RIS/PACS的质量评价能更好地完成放射科住院医师规范化培训,提升学员的主观能动性和核心岗位胜任能力,减少报告评价差评率。
文摘BACKGROUND:The Joint Commission accreditation manual contains standards in improving organization performance related to report and review of patient care issues causing unexpected harm.In spite of regulations mandating reporting,it remains inconsistent,varying by provider type and hospital.Our purpose was to determine current attitudes,knowledge,and practice of error reporting among emergency department(ED) providers.METHODS:We administered a survey assessing ED staff practice regarding error reporting.Questions involved reporting of errors in which the practitioner was directly involved,errors the practitioner observed,and general awareness of reporting mandates.We also questioned individuals regarding fear of repercussions for reporting.RESULTS:Fifty-two surveys were returned.For most errors,providers were more likely to tell their supervisor about the issue than to tell the patient.Seventeen percent of respondents did not think that referring errors for review was their job.Only 31%of respondents were aware of standardized institution-wide pathways to report errors.Any respondent who was aware of the institution-wide pathway also felt responsibility for error reporting.Thirty-three percent of the respondents were concerned about negative repercussions from reporting errors.In querying the hospital reporting system,263 cases were referred for quality issues over the previous year,51%of them were referred by nurses,27%by medical technicians(MTs),2%by mid-level providers(MLPs),1%by physicians,and 19%by other personnel.CONCLUSION:Although most of the ED staff are responsible for patient safety,most are not aware of systems available to assist in reporting,and even many do not utilize those systems.
文摘目的掌握吉林省各级医疗机构法定传染病信息报告质量,为提升全省传染病信息报告质量提供依据。方法运用多阶段分层随机抽样方法调查2018—2021年吉林省不同级别医疗机构法定传染病报告情况,采用优劣解距离(technique for order preference by similarity to an ideal solution,TOPSIS)法进行综合质量评价。结果2018—2021年,对吉林省内134家医疗机构开展调查,其中省级5家,地市级32家,县区级47家,乡镇级50家;法定传染病报告率为96.89%,报告及时率为99.75%,纸质(电子)传染病报告卡填写完整率为99.82%,纸质报告卡填写准确率为95.93%,网络报告信息一致率为93.47%,报告卡有效证件号填写完整率为99.79%。TOPSIS法综合评价结果显示,各级别医疗机构传染病报告综合质量从高到低依次为省级、乡镇级、地市级、县区级。结论吉林省医疗机构传染病网络直报质量整体较好,但仍存在报告不及时和不准确等问题,应继续提升医疗机构传染病报告水平。
