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目的分析医院感染病例漏报的原因,探讨避免漏报的措施。方法采用回顾性分析方法,抽取某三甲医院2014年1月和2015年1月出院患者病历,对医院感染漏报病例进行统计分析。结果 2014年1月的漏报病例数为10例,漏报率为22.72%;2015年1月的漏报病例数为19例,漏报率为26.39%,差异无统计学意义(P>0.05)。按照科室排序,内科系统漏报例数多于外科系统;按医院感染部位由多至少排序,依次为下呼吸道、泌尿道、上呼吸道、表浅切口和胃肠道;漏报的主要原因是医院感染管理三级管理体系有待继续强化,多部门协作有待继续加强;《医院感染诊断标准》培训不到位;临床医务人员对医院感染认识不足。结论加强医院感染规范管理,落实规范和制度,加强各科室间协作,积极开展目标性监测,是降低医院感染漏报的有效措施。
Objective To analyze the causes of omission of nosocomial infections and to explore the measures to avoid omission. Methods A retrospective analysis method was used to collect the medical records of patients discharged from hospitals and hospitals in January 2014 and January 2015 respectively. Results The number of missed cases in January 2014 was 10 and the false negative rate was 22.72%. In January 2015, the number of missed cases was 19 and the false negative rate was 26.39%, with no significant difference (P> 0.05 ). In accordance with departmental order, the medical system omission of more cases than the surgical system; according to the site of the hospital by at least more or less ordered, followed by the lower respiratory tract, urinary tract, upper respiratory tract, superficial incision and gastrointestinal tract; missed the main reason is the hospital Infection management level three management system to be continued to strengthen, multi-sectoral collaboration to be continued to strengthen; “Infectious Diseases Diagnostic Standards” training is not in place; clinical medical staff to understand the lack of hospital infection. Conclusion Strengthening the standard management of hospital infection, implementing the norms and systems, strengthening inter-departmental collaboration and actively carrying out targeted monitoring are effective measures to reduce the omission of nosocomial infections.