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[1]时黎明杨娟周成诚杨谨成杨文静.北京市朝阳区20所医院肿瘤诊疗质量分析[J].中国卫生质量管理,2025,32(11):26-31.[doi:10.13912/j.cnki.chqm.2025.32.11.06]
　SHI Liming,YANG Juan,ZHOU Chengcheng.Analysis of Oncology Diagnosis and Treatment Quality in 20 Hospitals in Chaoyang District of Beijing[J].Chinese Health Quality Management,2025,32(11):26-31.[doi:10.13912/j.cnki.chqm.2025.32.11.06]

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北京市朝阳区20所医院肿瘤诊疗质量分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 26-31 栏目: 医疗质量出版日期: 2025-11-15

Title:: Analysis of Oncology Diagnosis and Treatment Quality in 20 Hospitals in Chaoyang District of Beijing

作者:: 时黎明杨娟周成诚杨谨成杨文静; 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院

Author(s):: SHI Liming; YANG Juan; ZHOU Chengcheng; National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital，Chinese Academy of Medical Sciences and Peking Union Medical College

关键词:: 北京市; 朝阳区医院; 肿瘤; 诊疗质量

Keywords:: Beijing; Hospitals in Chaoyang District; Oncology; Diagnosis and Treatment Quality

分类号:: R197.3；R73

DOI:: 10.13912/j.cnki.chqm.2025.32.11.06

文献标志码:: A

摘要:: 目的了解北京市朝阳区20所医院肿瘤诊疗质量情况。方法对2024年北京市朝阳区20所医院肿瘤诊疗质量管理、外科诊疗、内科诊疗、放射治疗情况进行检查，对结果进行统计分析。结果北京市朝阳区医院肿瘤诊疗质量整体情况良好，但也存在肿瘤诊疗相关管理制度不完善（15.00%）等问题。外科诊疗方面，主要存在临床分期不完整或错误（36.97%）、四级手术术前无多学科讨论（47.66%）、未进行术前营养风险筛查（60.61%）、术前VTE和出血风险评估不到位（38.18%）等问题。内科诊疗方面，主要问题包括未进行肿瘤分期或分期错误（32.02%）、知情同意书内容不全或医生未签字（38.20%）、药物剂量及用法调整未注明原因（25.28%）等。放射治疗方面，整体规范化水平较高，但也存在放疗摆位及位置验证欠缺（13.33%）、肿瘤分期记录不全或未记录（10.00%）等问题。结论北京市朝阳区20所医院肿瘤诊疗质量管理、外科诊疗、内科诊疗、放射治疗有待改进，需多措并举进一步提高肿瘤诊疗的规范化、同质化水平。

Abstract:: ObjectiveTo investigate the quality of oncology diagnosis and treatment in 20 hospitals in Chaoyang District, Beijing.MethodsAn inspection was conducted on the quality management of oncology diagnosis and treatment, surgical treatment, medical treatment, and radiotherapy in 20 hospitals in Chaoyang District, Beijing, in 2024, followed by statistical analysis of the results.ResultsThe overall quality of oncology diagnosis and treatment in hospitals in Chaoyang District, Beijing, was generally good, however, issues such as inadequate management systems related to oncology diagnosis and treatment (15.00%) were identified. In surgical treatment, major problems included incomplete or incorrect clinical staging (36.97%), lack of multidisciplinary discussion before grade IV surgeries (47.66%), failure to conduct preoperative nutritional risk screening (60.61%), and inadequate assessment of venous thromboembolism and bleeding risks (38.18%). In medical treatment, primary issues comprised the absence or incorrect staging of tumors (32.02%), incomplete informed consent forms or lack of physician signatures (38.20%), and unexplained adjustments to dosage and administration (25.28%). In radiotherapy, while the overall level of standardization was relatively high, deficiencies were observed in radiotherapy positioning and position verification (13.33%) and incomplete or missing records of tumor staging (10.00%).Conclusion The quality management of oncology diagnosis and treatment, surgical treatment, medical treatment, and radiotherapy in the 20 hospitals in Chaoyang District, Beijing, require improvement. Multiple measures should be implemented to further enhance the standardization and homogenization of oncology diagnosis and treatment.

参考文献/References:

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更新日期/Last Update: 2025-11-15