[1]伍琳 许苹 连斌.神经外科医疗风险预警指标研究[J].中国卫生质量管理,2017,24(05):017-19.[doi:10.13912/j.cnki.chqm.2017.24.5.07]
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神经外科医疗风险预警指标研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第24卷
期数:
2017年05期
页码:
017-19
栏目:
医疗质量
出版日期:
2017-09-28

文章信息/Info

作者:
伍琳 许苹 连斌
第二军医大学东方肝胆外科医院
关键词:
神经外科医疗风险预警指标
Keywords:
Neurosurgery Medical Risk Early Warning Index
DOI:
10.13912/j.cnki.chqm.2017.24.5.07
摘要:
目的探讨神经外科患者发生医疗风险的临床预警指标,为建立神经外科医疗风险预警系统提供依据。方法将某院神经外科2005年-2015年发生的65例手术纠纷患者作为研究对象,选取同期入科、未发生医疗纠纷的109例手术患者作为对照组,从医院信息系统收集患者年龄、诊断、手术级别等资料,筛选21个医疗风险关键指标,运用X2检验进行单因素分析,选取有统计学意义的指标进行二分类Logistic回归分析。结果X2检验结果显示,入院诊断、GCS评分等13个指标有统计学意义(P<0.05)。二分类Logistic回归分析显示,GCS评分、并发症、颅内感染等7个指标是神经外科医疗风险发生的危险因素。结论所选指标均为神经外科患者临床指标,具有易提取、可量化、敏感度高等特点,可为建立神经外科医疗风险预警系统提供科学、可靠的依据。
Abstract:
ObjectiveTo explore the clinical early warning index of medical risk in neurosurgical patients, and to provide evidence for establishing neurological medical risk early warning system. MethodsA total of 65 patients with surgical complications from 2005 to 2015 were selected as the subjects, and 109 patients with no medical disputes were selected as control. The age, diagnosis, operation level and other information were collected from the hospital information system. 21 key indicators on medical risk were screened, the Chi-square test was used for univariate analysis, and the indicators with statistical significance were further analyzed by the dichotomy logistic regression analysis.ResultsA total of 13 indicators, including the admission diagnosis, GCS score, etc., showed statistically significant (P<0.05). The logistic regression analysis showed that GCS score, complication, intracranial infection and other seven indicators were risk factors for neurosurgical medical risk. Conclusion The selected indicators are clinical indicators of neurosurgical patients, with characteristics of easy extraction, being quantified, with high sensitivity, which can provide a scientific and reliable basis for the establishment of neurological medical risk early warning system.

参考文献/References:

[1]许苹, 孔令曼, 秦婷,等. 建立医疗风险预警机制的若干构想[J].中国卫生质量管理, 2006, 13(1):9-11.

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更新日期/Last Update: 2017-09-28