摘 要: 通过分析职业病诊断机构2014年职业病报告的常见错误,分析职业病诊断机构职业病报告质量的控制要素,以有效指导各地职业病诊断机构的报告及各级职业病报告业务管理机构的审核、质控。方法 使用全国各职业病诊断机构于2014年1月1日—12月31日通过“职业病与职业卫生信息监测系统”进行常规职业病个案报告,并经省级职业病报告业务管理机构审核但未修订的各类职业病(不包括职业性放射性疾病)原始个案资料,对报告数据的常见错误进行描述性分析,对职业病报告质量控制要素进行识别。结果 30 005条尘肺记录的主要问题是关键信息缺失(279条)、新病例重复记录(1 077条)、用人单位基本信息有误(8 093条)、统计工种错误或需核实(545条)等;3 094条职业病记录的主要问题有用人单位信息缺失(15条)、重复报告(24条)、职业性化学中毒急慢性归类错误(16条)等。结论 职业病诊断机构职业病报告的质控要点在于准确收集病例职业史以及相关基本信息,如用人单位所属行业、开始接尘年龄、实际接尘工龄、劳动者工种等信息;职业病报告业务审核机构要重点审核用人单位行业归类及新病例重复报告及急慢性中毒的归类;同时通过完善“职业病与职业卫生信息监测系统”,加强职业病报告相关知识培训,保持报告人员的稳定等措施,亦有利于进一步提高职业病报告质量。 |
关键词: 职业病诊断机构 职业病报告 常见问题 质量控制 |
中图分类号: R135
文献标识码:
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基金项目: 中国疾病预防控制中心青年科研基金项目( 编号:2016A202) |
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Analyses on key elements of quality control of occupational disease case reporting in occupational |
Wang Dan, Zhu Xiaojun, Xiao Pei
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National Institute of Occupational Health and Poison Control, China CDC, Beijing 100050, China
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Abstract: Objective To analyze the common mistakes made by the occupational diagnosis institutions in occupational disease cases reports, to identify key elements of quality control for better guiding the case report of occupational disease and the check and quality control on the administration of occupational diagnosis institutions. Methods The data of occupational disease cases was routinely reported by occupational diagnosis institutions from all over the country during Jan.1st to Dec. 31th in 2014 using “Information System of Occupational Diseases and Occupational Health”, which were original materials without any revision. The, make the descriptive analysis on the common mistakes, and identify the key elements of quality control. Results The results showed that the main mistakes were key information missing (279 records), duplicate records of new cases (1 077 records), employers information errors (8 093 records), misclassification of jobs (545 records), etc. in 30 005 records of pneumoconiosis cases. The main mistakes in 3 094 occupational disease records were employers information missing (15 records), duplicate records of new cases (24 records), and misclassification of acute or chronic poisoning (16 records). Conclusion The results suggested that the key elements of the quality control on occupational disease case report of occupational diagnosis institutions should be the following points: correctly collecting occupational history and basic information of the cases, such as the classification of industry section of employers, the age and duration of occupational hazards exposure and job type of the cases; The key points of quality control for the audit administration facilities should focus on the industrial classification of the employers, on the duplicate report of new cases, and on the classification of acute or chronic poisoning. In addition, there are also helpful for enhancing case report quality such as further improving the information system, strengthening the training on relative knowledge and keeping the stability of professionals etc. |
Keywords: occupational disease diagnosis institution occupational disease report common mistakes quality control |