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目的分析医院感染病例报告不准确的原因,探讨相应的改善对策。方法对我院2010年1月-2012年4月的全部出院病例共计4795份进行回顾性分析,结合医院感染的诊断标准,对医院的感染病例进行判定,将其结果与医院实际上报的感染病例进行比较,对医院感染病例的不准确性构成进行统计,并分析原因。结果 4795份病例中,发生感染的病例是334例次,占比6.97%(334/4795),临床科室报告291例次中,其中漏报病例43例次,占比12.87%(43/334);多报病例31例次,占比9.28%(31/334);报告不完整的病例24例次,占比7.19%(24/334)。结论造成医院感染病例报告不准确性的原因有很多,需采取针对性的、有效性的改善对策,在保证降低医院感染病例的同时,提高报告的准确性。
Objective To analyze the causes of inaccurate reports of nosocomial infections and to explore the appropriate countermeasures. Methods A total of 4,795 discharged patients in our hospital from January 2010 to April 2012 were retrospectively analyzed. Combined with the diagnostic criteria of nosocomial infection, the cases of nosocomial infections were judged, and the results were compared with the actual reported cases of nosocomial infections Compared the composition of the hospital infection inaccuracy statistics, and analyze the reasons. Results Of the 4795 cases, 334 cases occurred, accounting for 6.97% (334/4795). Of the 291 cases reported in clinical departments, 43 cases were missed, accounting for 12.87% (43/334) ; 31 cases were reported for overreaching, accounting for 9.28% (31/334); 24 cases were reported incomplete, accounting for 7.19% (24/334). Conclusion There are many reasons for inaccurate reporting of nosocomial infections, and we need to take targeted and effective measures to improve the accuracy of the report while ensuring the reduction of nosocomial infections.