2012年新疆吐鲁番地区医疗机构法定传染病漏报调查结果分析

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目的提高吐鲁番地区各级、各类医疗机构法定传染病网络直报的报告质量。方法依据《新疆医疗单位法定传染病漏报调查方案(2012版)》的相关内容与方法进行。结果本次共调查吐鲁番地区医疗机构4家,抽查乙、丙类传染病84例,报告83例,漏报1例(乡镇卫生院漏报),总漏报率1.19%,漏报病种为流行性腮腺炎。收集的83份纸质报告卡中只有30份填报完整、准确,合格率为36.14%。纸质卡片的填写总完整率94.05%,一致率40.48%,此次抽查卡片均未进行准确性统计。结论新疆法定传染病网络直报工作经过几年的努力,使传染病信息报告的及时性、审核的及时性得到了逐步提高,但在各类医疗机构的传染病管理和疫情报告制度,以及县级疾病控制的信息审核等方面还存在一些问题,建议卫生行政部门加强对传染病信息报告的督导、检查,各医疗单位的领导应高度重视传染病管理、疫情、死亡病例报告工作,进一步提高传染病疫情报告质量。 Objective To improve the reporting quality of direct online reporting of notifiable infectious diseases at all levels and various medical institutions in Turpan Prefecture. The method was based on the related content and method of Investigation Report of Legal Notifiable Diseases in Medical Units of Xinjiang (2012 Edition). Results A total of 4 medical institutions in Turpan Prefecture were surveyed. 84 cases of B and C infectious diseases were randomly selected and 83 cases were reported. One case was reported missing (township hospitals omitted), the total missing rate was 1.19% Mumps. Only 30 of the 83 collected paper report cards were reported as complete and accurate, with a passing rate of 36.14%. The total completion rate of paper-based cards was 94.05%, with a consistent rate of 40.48%. The spot checks did not make any statistics on the accuracy. Conclusion The direct reporting of legal infectious diseases in Xinjiang, after several years of hard work, made it possible to improve the timeliness of timely reporting of infectious disease information and the timeliness of audits. However, in infectious disease management and epidemic reporting systems in various medical institutions, Level disease control information review and other aspects of the existence of some problems, it is recommended that health administrative departments to strengthen the reporting of infectious diseases, supervision and inspection, the leaders of all medical units should attach great importance to infectious disease management, epidemics, deaths and cases reported to further improve the infection Outbreak report quality.
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