Monitoring low-risk death cases through Beijing-diagnosis related groups for improvement of the medical ;quality
10.3760/cma.j.issn.1000-6672.2015.07.009
- VernacularTitle:运用 BJ-DRGs 监测低风险死亡病例改进医疗质量的研究
- Author:
Wenfeng WANG
;
Jing CHEN
;
Wanying LIU
;
Shui GU
;
Zhen WANG
- Publication Type:Journal Article
- Keywords:
Hospital management;
Diagnosis related groups Beijing version;
Low-risk death cases
- From:
Chinese Journal of Hospital Administration
2015;(7):520-523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore methods of quickly identifying loopholes in medical quality management and to improve medical quality by means of analyzing low-risk death cases.Methods Two rounds of analysis of 1 14 low-risk death cases of hospitals in Beijing in 2012 in terms of data quality and medical procedures,in an effort to identify problems and to verify the feasibility and accuracy of the method through interaction with other data.Results Totally 585 760 inpatients were discharged in 2012 from 21 hospitals,of whom 1 5 1 1 93 being low-risk cases.Such cases included 1 14 low-risk death cases, accounting for 0.01 9% of the total discharged,and 0.075% of low-risk discharged cases.Analysis of these medical records found 50 cases of problematic diagnosis (43.86%),45 cases of possible defects in diagnosis and treatment (39.47%),39 cases of missing items of secondary diagnosis (34.21%),and 28 cases of missing items of surgery/operation (24.56%). Some of the abovementioned cases had overlapping mistakes.Conclusion Analysis of low-risk death cases can help focus among massive data of medical records,problems of diagnostic and therapeutic insufficiency,pinpointing common problems in medical service and improving medical quality and fine management of hospitals.
