Retrospective Analysis of 776 Cases of Cardiovascular and Cerebrovascular Events Reported for Review
Objectives By collecting the root causes of the non-standard reporting of cardiovascular and cerebrovascular events in a hospital,the practical and effective methods to reduce the non-standard reporting of cardiovascular and cerebrovascular events were discussed.Methods Based on the"Technical Plan for Monitoring cardiovascular and cerebrovascular Events in Fujian Province(Trial)"issued by the Fujian Provincial Center for Disease Control and Prevention as the inspection basis and standard,the medical department of a hospital organized 11 chief physicians with deputy senior titles or above to conduct manual review of all 776 cases of cardiovascular and cerebrovascular events reported in a hospital from June 1st,2022 to May 31st,2023.To apply descriptive statistical method make categorical summary.Results A retrospective analysis of 380 cases of non-standard reports showed that angina pectoris(I20)had the highest false positive rate,50 cases in total,accounting for 52.08％.There were 297 cases of cerebral apoplexy(I60,I61,I63,I64,excluding I62)with a false alarm rate of 50.17％,33 cases of acute myocardial infarction(I21-I22)with a false alarm rate of 41.77％,and 0％of sudden cardiac death(I46.1)with a false alarm rate.All of them met the reporting requirements after review and were reported.According to the statistics of defects,the maximum number of cases was 215 cases of diagnostic code error,accounting for 56.58％,followed by 140 cases that did not conform to the reporting rules,accounting for 35.35％,and finally 25 cases with insufficient diagnostic basis,accounting for 6.31％.Conclusions Diagnostic coding errors and non-compliance with reporting rules were the main causes of non-false reports.Appointing experts to review reported data,strengthening the function of the"Cardiovascular and Cerebrovascular Report Processing System",and carrying out targeted training are the main ways to reduce the non-standard reporting of cardiovascular and cerebrovascular events.
Cardiovascular and cerebrovascular eventsMonitoring techniqueReporting ruleDefect analysis
NETL
NSTL
万方数据
