神经外科医疗风险预警指标研究.doc

神经外科医疗风险预警指标研究
伍琳许苹连斌
第二军医大学东方肝胆外科医院海军总医院第二军医大学卫生勤务学系
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摘    要:
目的探讨神经外科患者发生医疗风险的临床预警指标, 为建立神经外科医疗风险预警系统提供依据。方法将某院神经外科2005年-2015年发生的65例手术纠纷患者作为研究对象, 选取同期入科、未发生医疗纠纷的109例手术患者作为对照组, 从医院信息系统收集患者年龄、诊断、手术级别等资料, 筛选21个医疗风险关键指标, 运用X2检验进行单因素分析, 选取有统计学意义的指标进行二分类Logistic回归分析。结果 X2检验结果显示, 入院诊断、GCS评分等13个指标有统计学意义(P<) 。二分类Logistic回归分析显示, GCS评分、并发症、颅内感染等7个指标是神经外科医疗风险发生的危险因素。结论所选指标均为神经外科患者临床指标, 具有易提取、可量化、敏感度高等特点, 可为建立神经外科医疗风险预警系统提供科学、可靠的依据。
关键词:
神经外科; 医疗风险; 预警; 指标;
作者简介:连斌, 第二军医大学东方肝胆外科医院主任医师E-mail, lb801@
收稿日期:2016-12-16
Early Warning Index of Neurosurgical Medical Risk
WU Lin XU Ping LIAN Bin
Oriental Hepatobiliary Surgery Hospital, Second Military Medical University;
Abstract:
Objective To explore the clinical early warning index of medical risk in neurosurgical patients, and to provide evidence for establishing neurological medical risk early warning system. Methods A total of 65 patients with plications from 2005 to 2015were selected as the subjects, and 109 patients with no medical disputes were selected as age, diagnosis, operation level and other information were collected from the hospital information key indicators on medical risk were screened, the Chi-square test was used for univariate analysis, and the indicators with statistical significance were further analyzed