Examination of death cases and analysis of unexpected death cases in Beijing municipal hospitals
10.3760/cma.j.cn111325-20240515-00385
- VernacularTitle:北京市属医院死亡病例检查及非预期死亡病例分析
- Author:
Wei WANG
1
;
Dan WANG
;
Sheng WU
;
Yang CAO
;
Yuhong GUO
Author Information
1. 北京大学肿瘤医院病案统计室，北京 100142
- Publication Type:Journal Article
- Keywords:
Medical quality management;
Unexpected death;
Diagnosis-related groups;
Case examination;
Medical institution
- From:
Chinese Journal of Hospital Administration
2025;41(4):313-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the death cases in Beijing municipal hospitals, identify possible medical quality issues in unexpected death cases, so as to provide a basis for medical quality management in medical institutions.Methods:A total of 432 death cases from Beijing municipal hospitals were included, and their acute physiology and chronic health status were evaluated. Based on the evaluation results and the death risk level determined by the diagnosis-related groups, an average of 10 cases were selected from each hospital. A total of 186 cases from 20 hospitals were selected for clinical diagnosis and treatment process evaluation, those cases with problems in the diagnosis and treatment process were defined as unexpected deaths.Results:According to expert judgment, 19.89% (37/186) of the examined deaths had medical quality issues. The main medical quality issues included delayed diagnosis and treatment of patient condition changes (15 cases), inadequate preoperative evaluation (12 cases), failure to consult as required(11 cases), and inadequate prevention of venous thromboembolism (7 cases).Conclusions:Medical institutions should attach importance to the analysis of death cases, address the medical quality issues in the diagnosis and treatment of unexpected death cases, continuously improve medical quality management.
