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目的通过对良性前列腺增生单病种的质量监控与分析,探讨单病种质量管理的方法,以提高单病种质量水平。方法选取某三级甲等医院42例良性前列腺增生经尿道前列腺电切(TURP)术的病例为研究对象,应用SPSS16.0统计软件对质量指标数据进行统计分析,病历书写质量按照5级评分方法评分,并进行缺陷统计。结果手术持续时间平均102.7±43.0分钟;预防性应用抗菌药物时间较长;治愈率100%;平均住院日12.2±2.8天,其中术前平均住院日5.3±2.2天;平均医疗费用10485.3±2515.0元,其中平均药费5358.1±1515.0元,药费比例50.4%;病历书写质量平均83.3分。结论在单病种形成的三个环节,对不同的监控对象采用不同的监控方法,实现单病种持续质量改进。
Objective To evaluate the quality control of single disease of benign prostatic hyperplasia (BPH) and discuss the quality control of single disease in order to improve the quality of single disease. Methods Twenty-two cases of benign prostatic hyperplasia (TURP) treated in a tertiary hospital were selected as the research object. SPSS16.0 statistical software was used to analyze the quality index data. The quality of the medical records was graded according to the five-grade score method Score, and the defect statistics. Results The average duration of operation was 102.7 ± 43.0 minutes. The duration of prophylactic antibiotics was longer. The cure rate was 100%. The average length of stay was 12.2 ± 2.8 days. The average preoperative hospital stay was 5.3 ± 2.2 days. The average medical cost was 10485.3 ± 2515.0 yuan , Of which the average cost of 5358.1 ± 1515.0 yuan medicine, medicine ratio of 50.4%; medical record writing average 83.3 points. Conclusion In the three aspects of the formation of single disease, different monitoring methods are adopted for different monitoring objects to achieve continuous quality improvement of single disease.