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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 status of infectious disease report card in medical institutions in Guiyang and provide the basis for further improving the quality of infectious disease report. Methods The method of census, Guiyang City, medical institutions at all levels to carry out investigations. Results In 2014, the completion rate of report card for infectious diseases of medical institutions in Guiyang was 94.51%, with an accuracy rate of 89.35% and an agreement rate of 83.62%. The lowest rate of complete medical institutions at the township level, the accuracy of medical institutions at all levels no difference, the lowest rate of consistent medical institutions at the county level, all districts and counties medical institutions, infectious disease reporting card filling quality difference. Conclusion It is imperative to strengthen the management of epidemic situation of infectious diseases in medical institutions, standardize the registration of clinical treatment records and effectively implement the epidemic management system. It is imperative to strengthen the quality control and supervision of infectious disease reports. At the same time, information on the management of epidemic situation of infectious diseases in medical institutions should be accelerated Construction, reduce the workload of clinicians.