摘要
目的探讨使用住院死亡类指标评价北京市某三级甲等综合性教学医院医疗质量。方法基准比较,包括以年度为基准的医院自身纵向比较和以领先者为基准的医院间横向比较。结果该医院住院患者总死亡率,特别是手术患者住院死亡率呈逐年下降趋势;围手术期死亡率与重返手术室患者住院死亡率呈波动状态。在5所同地区、同类、同级别医院中,该医院2006年手术患者住院死亡率和重返手术室患者住院死亡率处于第二位;住院患者总死亡率处于第三位,围手术期死亡率处于第四位。结论该医院医疗质量相对稳定并有所改善,但在5所同地区、同类、同级别的医院中尚未达到领先水平。
Objective Evaluating medical care quality of a teaching hospital in Beijing with the main clinical indicators of inhospital mortality. Method Benchmaring, including the indicators comparison vertically （using the hospital＇s data from the year 2004 to 2006） and the indicators comparison horizontally （using the five teaching hospital＇s data of the year 2006） . Results Both total inpatient mortality and total mortality for surgical procedures of the teaching hospital have been improved continually from the year 2004 to 2006.The perioperative mortality and the inpatient mortality for the patients who returned to the operating room were fluctuatie. With the data of other four teaching hospitals 2006, both total mortality for surgical procedures and the inpatient mortality for the patients who returned to the operating room of the teaching hospital were in the second position： the total inpatient mortality of the teaching hospital was in the third position： the perioperative mortality of the hospital was in the fourth position. Conclusion The medical care quality of the teaching hospital remains stable, but has not reached the level of the advanced hospitals.
出处
《中国医院管理》
北大核心
2008年第6期22-24,共3页
Chinese Hospital Management
关键词
医疗质量评价
住院死亡率
基准比较
evaluaing medical care quality, inhospital mortality, benchmaring
