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目的分析某医院死亡医学证明书填写过程中存在的问题,提出解决对策。方法回顾性分析某医院2015年1月-12月死亡医学证明书填写存在的质量缺陷内容,并将科室、缺陷问题等进行归类总结、统计和分析。结果 2015年1月-12月检查死亡医学证明书973份,填写有缺陷的473份,缺陷率占48.61%;缺陷问题条目数280条,其中基本信息项目填写不完整、漏填、错填构成比例最高,占46.43%。结论死亡医学证明书填写不准确的问题,是影响质量的关键因素,强化责任意识,制定多样性的培训方法,注重环节质控,提升管理方法,是提高死亡医学证明书的填写质量的有效措施。
Objective To analyze the problems in the process of completing the medical certificate of death in a hospital and put forward the solutions. Methods A retrospective analysis of the contents of the quality defects in the written medical certificate of death from January to December 2015 in a hospital was made. The departments and defects were classified, summarized and analyzed statistically. Results 973 medical certificates of death were inspected in January-December 2015, 473 were filled in, and the defect rate was 48.61%. The number of defects was 280, of which the basic information items were not filled in completely, The highest proportion, accounting for 46.43%. Conclusion It is an effective measure to improve the quality of death medical certificate by filling in the inaccurate problem of death medical certificate, which is the key factor affecting the quality. It is also an effective measure to enhance the quality of death medical certificate by strengthening the sense of responsibility, developing a variety of training methods, paying attention to the quality control and improving the management methods .