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目的了解泸州市2010年医疗机构法定传染病报告管理现状,为进一步提高报告管理水平提供依据。方法采用分层抽样法抽取不同级别的医疗机构48个,参照《2008年全国法定传染病监测报告管理检查督导工作方案》的方法开展调查。结果共抽查挂号(处方)签686张,门诊日志符合率为80.76%,抽查门诊日志登记670份,登记完整率为68.66%,抽查出入院登记、传染病登记各440份,登记完整率分别为34.77%、66.82%,抽查检验登记220份,登记完整率为72.73%,抽查放射科登记429份,登记完整率为76.69%,抽查医务人员109名,传染病报告知识不及格率为68.81%;抽查法定传染病426例,报告率、报告及时率、完整率、准确率、录入一致率分别为98.36%、99.12%、97.80%、96.48%、92.95%。结论泸州市各级医疗机构传染病报告管理水平和报告质量不高,特别是住院部、门诊、检验科、放射科、感染管理科等各种登记缺项较多,登记不完整;医务人员的传染病报告管理相关知识欠缺,对诊断标准的掌握有待提高。
Objective To understand the status quo of the reporting and management of notifiable infectious diseases in medical institutions in Luzhou City in 2010 and provide the basis for further improving the management level of the reports. Methods Stratified sampling method was used to extract 48 different levels of medical institutions, with reference to the “2008 national legal infectious disease monitoring report management inspection supervision work plan” approach to carry out investigations. Results A total of 686 checked-in (prescription) swaps were signed. The coincidence rate of outpatient diaries was 80.76%. The number of outpatient diary registrations was 670. The complete registration rate was 68.66%. There were 440 admission registrations and 440 infectious disease registrations. 34.77% and 66.82% respectively. The check-up and check-up registration was 220, the registration complete rate was 72.73%, 429 radiology registrations were spot-checked, the registration complete rate was 76.69%, and the number of spot-checking medical staff was 109. The failure rate of infectious disease report was 68.81% 426 cases of statutory infectious disease were randomly selected, and the reporting rate, reporting rate, completeness rate, accuracy rate and concordance rate were 98.36%, 99.12%, 97.80%, 96.48% and 92.95% respectively. Conclusion The level of management of infectious disease reports and the quality of reports of medical institutions at all levels in Luzhou are not high. In particular, there are a large number of missing registrations in inpatient department, outpatient department, laboratory department, radiology department and infection management department, and the registration is incomplete. The medical staff The related knowledge of infectious disease report management is lacking, and the mastery of diagnostic criteria needs to be improved.