摘要
目的:对神经系统诊断报告进行等级评价,以促进诊断报告书写质量。方法:选取参与书写报告的研究生、进修生及低年住院医师10人的影像诊断报告(3个季度共90份),进行公开评价并找出缺点与不足,根据实际情况客观分析,得出评价结果等级(即优、良、差),并制作名单表格进行公示,对优、良、差分别以红色圆点、绿色圆点及黑色圆点表示;对评价结果做秩相关分析。结果:评价结果:第1季度30份报告优为0,良为26份,差为4份;第2季度30份报告优为5份,良为23份,差为2份;第3季度30份报告优为7份,良为23份,差为0份。秩相关分析结果比较,差异有统计学意义(r=0.338,P=0.001)。结论:影像报告等级评价法对研究生、进修生及低年住院医生的诊断报告质量提高与控制可起到一定的促进作用,可作为日常教学医疗质量控制的措施。
Objective： To evaluate the grade of the central nervous system diagnosis reports, so as to promote the quality of diagnosis reports. Methods： Public evaluation the diagnosis reports had been written by postgraduates, receive training doctors and low grade resident physicians, about ten people, to find out the shortcomings and deficiencies of the reports content, and according to the actual situation of objective analysis, evaluation, and draw the results of evaluation grades, namely excellent, good, poor in three, make a list form give publicity to mark the excellent, good, poor in red dots, green dots and black dots indicate respectively. The evaluation results analysis by rank correlation. Results： The evaluation results of first time about 50 reports, the number of excellent 0 case, good 26 cases, and poor 4 cases; The evaluation results of second time about 30 cases, the number of excellent reports 5 cases, good 25 cases, and poor 2 cases; The evaluation results of correlation is rank value 0.338, P value is 0.001. Conclusion.＂ The image diagnosis reports evaluation metl^od can play a certain role in improving and control the quality of imaging diagnosis reports that had been written by postgraduate receive training doctors and low grade resident physicians. The method can be used as a measure of teaching process for control and improve medical quality.
出处
《中国医学装备》
2015年第8期57-60,共4页
China Medical Equipment
关键词
中枢神经系统
影像诊断报告
等级评价
质量控制
Central nerve system
Imaging diagnosis report
Evaluation grade
Quality control
