[1]杨国凤,鞠昀翰,周玲玲.改进管理措施对《出生医学证明》签发的影响[J].医学信息,2020,33(07):190-192.[doi:10.3969/j.issn.1006-1959.2020.07.064]
　Guo-feng,JU Yun-han,ZHOU Ling-ling.Impact of Improved Management Measures on the Issuance of Birth Medical CertificateYANG[J].Medical Information,2020,33(07):190-192.[doi:10.3969/j.issn.1006-1959.2020.07.064]
点击复制

改进管理措施对《出生医学证明》签发的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年07期
页码:
190-192
栏目:
护理研究
出版日期:
2020-04-01

文章信息/Info

Title:
Impact of Improved Management Measures on the Issuance of Birth Medical CertificateYANG
文章编号:
1006-1959（2020）07-0190-03
作者:
杨国凤; 鞠昀翰; 周玲玲
（山东威海市立医院产科，山东 威海 264200）
Author(s):
Guo-feng; JU Yun-han; ZHOU Ling-ling
(Department of Obstetrics,Weihai Municipal Hospital,Weihai 264200,Shandong,China)
关键词:
新生儿; 出生医学证明; 签发管理; 医患纠纷
Keywords:
Newborn; Birth medical certificate; Issuance management; Doctor-patient dispute
分类号:
R17
DOI:
10.3969/j.issn.1006-1959.2020.07.064
文献标志码:
A
摘要:
目的 探讨改进管理措施对《出生医学证明》签发的影响。方法 选取本院产科2009年1月~2018年9月签发的27480份《出生医学证明》为研究对象，以2014年1月为界限分为A组（改进前）和B组（改进后），A组采用传统管理措施，B组采用规范化、科学化、人性化管理措施，比较两组《出生医学证明》首次签发率、废证率、换证率、废证及换证原因。结果 B组首次签发率、废证率及换证率分别为99.34%、0.07%、0.14%，均优于A组的81.25%、2.33%、2.28%，差异有统计学意义（P＜0.05）；两组废证原因主要为打印错误及其他，其中B组打印错误发生率低于A组，差异有统计学意义（P＜0.05）；两组换证原因包括私拆副页及乱涂乱改、打印错误、严重损坏等，其中B组私拆副页及乱涂乱改、打印错误、军官证号改换身份证号、亲子鉴定更改父亲母亲信息发生率低于A组，差异有统计学意义（P＜0.05）。结论 我院对《出生医学证明》签发管理改进后，有效提高了新生儿《出生医学证明》签发率，降低了废证率和换证率，同时还减少了产妇和工作人员不必要的麻烦和医患纠纷，值得临床应用。
Abstract:
Objective To explore the impact of improved management measures on the issuance of Birth Medical Certificate. Methods 27480 “Birth Medical Certificate” issued by the obstetrics department of our hospital from January 2009 to September 2018 were selected as the research objects. With January 2014 as the boundary, it is divided into group A (before improvement) and group B (after improvement). Group A adopts traditional management measures, and group B adopts standardized, scientific and humanized management measures. Compare the rate of initial issuance, the rate of invalidation, the rate of replacement of certificates, the reasons for voiding and replacement of the Birth Medical Certificate between the two groups.Results The rate of initial issuance, the rate of invalidation and the rate of certificate replacement in group B were 99.34%, 0.07%, and 0.14%, respectively, which were better than those in group A, 81.25%, 2.33%, and 2.28%,the difference was statistically significant (P<0.05); the reasons for the invalidation of the two groups were mainly printing errors and others. The incidence of printing errors in group B was lower than that in group A,the difference was statistically significant (P<0.05); The reasons include private demolition of secondary pages and scrambling, printing errors, serious damage, etc., among which group B private demolition of secondary pages and scrambling, misprinting, printing errors, military officer ID number replacement ID number, paternity test changes father and mother information rate was lower than that in group A,the difference was statistically significant (P<0.05).Conclusion After the improvement of the management of the issuance of Birth Medical Certificate in our hospital,which has effectively increased the rate of issuance of the Birth Medical Certificate of newborns, reduced the rate of invalidation and replacement of certificates, and also reduced unnecessary troubles for pregnant women and staff. Doctor-patient disputes are worthy of clinical application.

参考文献/References:

[1]王丽玲.《出生医学证明》院内管理中的探讨[J].办公室业务,2017,41(1):19. [2]卫生部.关于加强新版《出生医学证明》启用管理的通知(卫妇社发[2004]319号)[Z].北京:卫生部,公安部,2004:1029. [3]朱丹平.浅谈《出生医学证明》档案管理的重要性[J].医学信息,2013,26(12):70-71. [4]于佳,王平,曾芳玲,等.广州市《出生医学证明》管理纵向分析[J].中国妇幼健康研究,2012,23(3):379-380. [5]国家卫生计生委办公厅.关于进一步加强出生医学证明管理的通知(国卫办妇幼发[2015]13号)[Z].北京:国家卫生计生委办公厅,2015:305. [6]国家卫生计生委妇幼司.关于开展2016年出生医学证明管理督导检查的通知(国卫妇幼儿卫便函[2015]75号)[Z].北京:国家卫生计生委妇幼司,2016:822. [7]苏永红.《出生医学证明》签发分析与管理[J].中国医药导报,2014,9(2):165-166. [8]山东省卫生和计划生育委员会,山东省公安厅.转发国家卫生计生委、公安部关于启用和规范管理新版《出生医学证明》的通知的通知（鲁卫妇社发[2014]2号）[Z].济南:山东省卫生和计划生育委员会,山东省公安厅,2014:208.

相似文献/References:

[1]包克珍,许云丽.新生儿社区获得性肺炎的临床特征分析[J].医学信息,2018,31(02):184.[doi:10.3969/j.issn.1006-1959.2018.02.072]
　BAO Ke-zhen,XU Yun-li.Clinical Characteristics of Neonatal Community Acquired Pneumonia[J].Medical Information,2018,31(07):184.[doi:10.3969/j.issn.1006-1959.2018.02.072]
[2]王 静,姜 娟,肖 婷,等.单胎足月新生儿神经行为NBNA评分相关影响因素研究[J].医学信息,2018,31(06):74.[doi:10.3969/j.issn.1006-1959.2018.06.023]
　WANG Jing,JIANG Juan,XIAO Ting,et al.Study on the Related Factors of Neurobehavioral NBNA Score in Single Term Neonates[J].Medical Information,2018,31(07):74.[doi:10.3969/j.issn.1006-1959.2018.06.023]
[3]赵凤艳.蓝光照射联合白蛋白静脉滴注对新生儿黄疸的疗效观察[J].医学信息,2018,31(09):117.[doi:10.3969/j.issn.1006-1959.2018.09.035]
　ZHAO Feng-yan.Efficacy of Blue Light Irradiation Combined with Intravenous Drip of Albumin on Neonatal Jaundice[J].Medical Information,2018,31(07):117.[doi:10.3969/j.issn.1006-1959.2018.09.035]
[4]王 晖.新生儿出生体温管理与新生儿低血糖症临床相关性[J].医学信息,2018,31(15):86.[doi:10.3969/j.issn.1006-1959.2018.15.026]
　WANG Hui.Clinical Correlation Between Neonatal Temperature Management and Neonatal Hypoglycemia[J].Medical Information,2018,31(07):86.[doi:10.3969/j.issn.1006-1959.2018.15.026]
[5]孙继飞,张 岚.肺表面活性物质治疗足月新生儿急性呼吸窘迫综合征疗效观察[J].医学信息,2019,32(02):121.[doi:10.3969/j.issn.1006-1959.2019.02.034]
　SUN Ji-fei,ZHANG Lan.Therapeutic Effect of Pulmonary Surfactant on Acute Respiratory Distress Syndrome in Full-term Neonates[J].Medical Information,2019,32(07):121.[doi:10.3969/j.issn.1006-1959.2019.02.034]
[6]陈倩如.某院住院新生儿病种构成特点分析[J].医学信息,2019,32(05):139.[doi:10.3969/j.issn.1006-1959.2019.05.044]
　CHEN Qian-ru.Analysis of the Characteristics of Neonatal Diseases in a Hospital[J].Medical Information,2019,32(07):139.[doi:10.3969/j.issn.1006-1959.2019.05.044]
[7]江乐川.新生儿无创呼吸机防治新生儿呼吸窘迫综合征的效果[J].医学信息,2019,32(22):107.[doi:10.3969/j.issn.1006-1959.2019.22.034]
　JIANG Le-chuan.Effect of Neonatal Non-invasive Ventilator on Prevention and Treatment of Neonatal Respiratory Distress Syndrome[J].Medical Information,2019,32(07):107.[doi:10.3969/j.issn.1006-1959.2019.22.034]
[8]杨 帅.酪酸梭菌活菌散剂在治疗新生儿高胆红素血症中的作用[J].医学信息,2019,32(23):147.[doi:10.3969/j.issn.1006-1959.2019.23.045]
　YANG Shuai.The Role of Clostridium Butyricum Powder in the Treatment of Neonatal Hyperbilirubinemia[J].Medical Information,2019,32(07):147.[doi:10.3969/j.issn.1006-1959.2019.23.045]
[9]徐咏梅.听力筛查联合遗传性耳聋基因检测在新生儿筛查中的应用[J].医学信息,2020,33(01):177.[doi:10.3969/j.issn.1006-1959.2020.01.059]
　XU Yong-mei.Hearing Screening Combined with Hereditary Deafness Gene Detection in Newborn Screening[J].Medical Information,2020,33(07):177.[doi:10.3969/j.issn.1006-1959.2020.01.059]
[10]师雯琦,詹少英.2015~2019年某医院新生儿科出院患儿疾病构成分析[J].医学信息,2020,33(08):140.[doi:10.3969/j.issn.1006-1959.2020.08.046]
　SHI Wen-qi,ZHAN Shao-ying.Analysis of the Disease Composition of Children Discharged from the Neonatal Department of a Hospital from 2015~2019[J].Medical Information,2020,33(07):140.[doi:10.3969/j.issn.1006-1959.2020.08.046]

更新日期/Last Update: 2020-04-01