体检危急值预警情况及其实施意义分析(1)
摘 要：目的 总结目前体检报告预警管理模式及意义，提高医务人员工作责任心及对异常结果的诊断水平和应急处置能力，从而提升医疗质量，维护医务人员权益，减少医疗纠纷发生。方法 选择2016年1月～12月在我院健康管理中心进行健康体检，且因结果存在各种危急异常情况进行提前電话预警的1723例体检者作为研究对象，采用预先设定的需预警项目、建立预警及回访登记本、指派专职护士负责电话预警及后续的回访，对阳性结果及可疑结果及时通知并分类追踪、及时登记。结果 高血压总预警例数为428例， 占总预警例数的24.84%，且随着年龄的增长而增加。高血压、高血糖、肺部结节、肝功异常及肝内占位的预警情况均为男性多于女性，其中男性分别占31.31%、12.78%、5.43%、8.52%。肺部结节、甲状腺结节、宫颈病变、血常规明显异常、乳腺结节及肝功异常和肝内占位在青年组预警率较高。结论 危急值预警制度是健康管理质控工作中重要一环，是规避不必要的医疗纠纷的最好保障。
关键词：体检危急值;预警;体检
, http://www.100md.com
中图分类号：R197.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.005
文章编号：1006-1959(2018)21-0013-04
Analysis on the Situation of Physical Examination Critical Value Prewarning and Its Implementation Significance
LI Yun，LIU Mi，WANG Guan，CHEN Chen，ZHOU Xiao-yan，TIAN Wei-ke
(Health Management Center of Affiliated Hospital of North Sichuan Medical University，Nanchong 637000，Sichuan，China)
, 百拇医药
Abstract：Objective To summarize the prewarning management mode and significance of the current physical examination report， improve medical staff's sense of responsibility， diagnosis level of abnormal results and emergency response ability， so as to improve medical quality， safeguard medical staff's rights and interests， and reduce medical disputes. Methods From January 2016 to December in our hospital for physical examination health management center， and because the results are various critical exceptions for phone in advance warning of 1723 cases of medical examination as the research object， USES the preset warning project， to set up the early warning and return visit to clipboard， assign full-time nurses responsible for telephone warning and the follow-up visit， the positive result and the result of suspicious inform tracking and classification， registration in a timely manner. Results The total number of early warning cases of hypertension was 428， which accounted for 24.84% of the total early warning cases and increased with age. The early warning of hypertension， hyperglycemia， pulmonary nodules， abnormal liver function and intrahepatic space were all more common in males than females， with males accounting for 31.31%， 12.78%， 5.43% and 8.52% respectively. The warning rate of pulmonary nodules， thyroid nodules， cervical lesions， obvious abnormal blood routine， breast nodules， abnormal liver function and intrahepatic space was higher in the youth group. Conclusion The critical value warning system is an important part in health management and quality control and is the best guarantee to avoid unnecessary medical disputes., http://www.100md.com(李 芸 柳 弥 王 冠 陈 晨 周小燕 田维科)
关键词：体检危急值;预警;体检
, http://www.100md.com
中图分类号：R197.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.005
文章编号：1006-1959(2018)21-0013-04
Analysis on the Situation of Physical Examination Critical Value Prewarning and Its Implementation Significance
LI Yun，LIU Mi，WANG Guan，CHEN Chen，ZHOU Xiao-yan，TIAN Wei-ke
(Health Management Center of Affiliated Hospital of North Sichuan Medical University，Nanchong 637000，Sichuan，China)
, 百拇医药
Abstract：Objective To summarize the prewarning management mode and significance of the current physical examination report， improve medical staff's sense of responsibility， diagnosis level of abnormal results and emergency response ability， so as to improve medical quality， safeguard medical staff's rights and interests， and reduce medical disputes. Methods From January 2016 to December in our hospital for physical examination health management center， and because the results are various critical exceptions for phone in advance warning of 1723 cases of medical examination as the research object， USES the preset warning project， to set up the early warning and return visit to clipboard， assign full-time nurses responsible for telephone warning and the follow-up visit， the positive result and the result of suspicious inform tracking and classification， registration in a timely manner. Results The total number of early warning cases of hypertension was 428， which accounted for 24.84% of the total early warning cases and increased with age. The early warning of hypertension， hyperglycemia， pulmonary nodules， abnormal liver function and intrahepatic space were all more common in males than females， with males accounting for 31.31%， 12.78%， 5.43% and 8.52% respectively. The warning rate of pulmonary nodules， thyroid nodules， cervical lesions， obvious abnormal blood routine， breast nodules， abnormal liver function and intrahepatic space was higher in the youth group. Conclusion The critical value warning system is an important part in health management and quality control and is the best guarantee to avoid unnecessary medical disputes., http://www.100md.com(李 芸 柳 弥 王 冠 陈 晨 周小燕 田维科)