作者：史赢陈颖杨冬青高山孙彤
摘要目的探讨手术级别填写存在的问题，针对各问题提出改进措施，为精确手术级别信息提供合理建议。方法分析年1月1日-年12月31日期间手术级别构成情况，采取单纯随机方法抽取
某院例样本进行分析，找出手术级别填写存在的问题。结果一级二级手术比例分别是9.9%和41.1%，三级四级手术比例分别是44.5%和4.5%。手术级别填写完全正确仅占25%，手术级别信息未提取和医师填写手术级别低于实际级别所占的比例较大，分别是39%和21%。手术操作名称无对应编码和医师填写手术级别高于实际级别分别占6%和5%。结论手术级别信息未提取和医师填写手术级别低于实际级别是影响手术级别不正确的重要原因，针对原因需加强管理，医院软件系统,修订《手术分级目录》并增进编码员与临床医师的交流。
关键词手术级别；单纯随机抽样；问题
ProblemsExistingintheFillingofOperationsLevelandRelevantMeasuresShiYing,ChenYing,YangDongqing,GaoShan,SunTong
AbstractObjectivesTodiscusstheproblemsexistinginthefillingofoperationslevel,putforwardtherelevantimprovementmeasures,andprovidereasonablesuggestionsforaccuratetheinformationofoperationslevel.MethodsToanalyzetheconstitutionsituationofoperationslevelfromJanuary1sttoDecember31stin,andthenanalyzedsampleswhichwereselectedwiththeapplicationofsimplerandomsamplingmethodinahospital,foundouttheproblemsexistinginthefillingofoperationslevel.ResultsThepercentageofprimarysurgeryandsecondarysurgerywere9.9%and41.1%respectively,andthepercentageoftriplesurgeryandfour-stagesurgerywere44.5%and4.5%.Thepercentageofcorrectlysurgerygradingwas25%,surgerygradinginforma
-tionwasnotextractedandsurgerygradingwaswrittenloweraccountforlargestpercentage,were39%and21%respectively.
Thepercentageofoperationnamewasnotcodingandsurgerygradingwaswrittenhigherwere6%and5%.
ConclusionsTheimportantreasonseffectedtheincorrectoperationslevelincludedsurgerygradinginformationwas
notextractedandsurgerygradingwaswrittenlowerthanthereallevel.Weshouldstrengthenthemanagementfor
thesereasons,improveandperfecthospitalmanagementsystem,revise"Hierarchicaldirectoryoperation"and
improvethe白癜风用什么药膏好使北京哪个医院治白癜风比较好