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中华医学超声杂志(电子版) ›› 2019, Vol. 16 ›› Issue (05) : 360 -363. doi: 10.3877/cma.j.issn.1672-6448.2019.05.012

所属专题: 超声医学质量控制 文献

超声医学质量控制

超声医学影像工作站在住院医师超声报告质量控制方面的应用
武玺宁1, 欧阳云淑1, 孟华1, 姜玉新1,(), 李建初1, 王红燕1, 张一休1   
  1. 1. 100730 中国医学科学院 北京协和医学院 北京协和医院超声医学科
  • 收稿日期:2019-04-08 出版日期:2019-05-01
  • 通信作者: 姜玉新

Application of ultrasound medical imaging workstation in quality control of ultrasonic reports issued by resident doctors

Xining Wu1, Yunshu Ouyang1, Hua Meng1, Yuxin Jiang1,(), Jianchu Li1, Hongyan Wang1, Yixiu Zhang1   

  1. 1. Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Perking Union Medical College, Beijing 100730, China
  • Received:2019-04-08 Published:2019-05-01
  • Corresponding author: Yuxin Jiang
  • About author:
    Corresponding author: Jiang Yuxin, Email:
引用本文:

武玺宁, 欧阳云淑, 孟华, 姜玉新, 李建初, 王红燕, 张一休. 超声医学影像工作站在住院医师超声报告质量控制方面的应用[J/OL]. 中华医学超声杂志(电子版), 2019, 16(05): 360-363.

Xining Wu, Yunshu Ouyang, Hua Meng, Yuxin Jiang, Jianchu Li, Hongyan Wang, Yixiu Zhang. Application of ultrasound medical imaging workstation in quality control of ultrasonic reports issued by resident doctors[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(05): 360-363.

目的

探讨超声医学影像工作站在住院医师超声报告质量控制方面的应用价值。

方法

从超声医学影像工作站导出2017级住院医师培训6个月和12个月的门诊患者胰腺超声报告,分别作为G6M组和G12M组(G,group;M,month)。G6M组超声报告共1582份,患者,男性420例,女性1162例,年龄<65岁计1318例,≥65岁计264例;G12M组超声报告共2723份,患者,男性760例,女性1963例,患者年龄<65岁计2323例,≥65岁计400例。同时记录报告中"胰尾显示不清"的出现频率、标准存图和体表标识等资料,采用χ2检验比较两组患者性别、年龄等情况及住院医师的报告质量有无差别。

结果

两组患者的性别、年龄构成比比较,差异均无统计学意义(P均>0.05)。G6M组和G12M组提示"胰尾显示不清"的报告分别为554份(35.02%)和734份(26.96%),两组相比,差异有统计学意义(χ2=31.029,P<0.001)。在"胰尾显示不清"的报告中,G6M组和G12M组无图的报告分别为8份(1.44%)和14份(1.91%),两组比较,差异无统计学意义(P>0.05),有图无标识、有图有标识分别为337份(60.83%)、209份(37.73%)及308份(41.96%)、412份(56.13%),两组比较,差异均有统计学意义(χ2=44.960、42.834,P均<0.001)。

结论

超声医学影像工作站可用于住院医师报告的定期抽查、评价和反馈,对于超声报告的质量控制有积极的促进作用。

Objective

To explore the application value of ultrasound medical imaging workstation in quality control of ultrasound reports issued by resident doctors.

Methods

The pancreatic ultrasound reports of outpatients provided by resident doctors with 6 months and 12 months of training were derived from the ultrasound medical imaging workstation as 6-month group (G6M) and 12-month group (G12M), respectively. There were 1582 ultrasound reports in the G6M, including 420 for males and 962 for females, with 1318 for patients<65 years old and 264 for patients≥65 years old. There were 2723 ultrasound reports in the G12M, including for 760 males and 1963 for females, with 2323 for patients <65 years old and 400 for patients ≥65 years old. Frequency of "unclear tail of the pancreas" in the report, standard image, and body markers were recorded. The chi-square test was used to compare patient gender, age, and the quality of resident reports between the two groups.

Results

The chi-square test showed that there was no significant difference in sex or age composition between the two groups (all P>0.05). The number of cases of "unclear tail of the pancreas" reported in the G6M and G12M was 554 (35.02%) and 734 (26.96%), respectively, and there was a statistical difference between the two groups (χ2=31.029, P<0.001). In the reports with "unclear tail of the pancreas", the number of reports with "no map" was 8 (1.44%) and 14 (1.91%) in the G6M and G12M, respectively, and there was no significant difference between the two groups (P>0.05). As to "map without marker" and "map with marker", there were 337 (60.83%) vs 209 (37.73%) and 308 (41.96%) vs 412 (56.13%) in the G6M and G12M, respectively, and the chi-square test showed that there were significant differences between the two groups (χ2=44.960 and 42.834, all P<0.001).

Conclusion

Ultrasound medical imaging workstation can be used for periodic spot check, evaluation, and feedback of resident reports, which has a positive role in promoting the quality control of ultrasound reports.

图1 北京协和医院超声医学影像工作站查询界面。工作站不仅可以显示患者的基本临床资料,更集成了查询、统计、随访等功能,根据不同查询条件获得相应检索结果,实现详细、全面的质量控制
表1 G6M组与G12M组患者性别和年龄构成比情况(例数)
图2 G6M组和G12M组"胰尾显示不清"报告的存图情况。两组中无图的报告比例很低,并且经过更长时间的学习与实践,G12M组有图有标识的比例明显增高
表2 G6M组和G12M组"胰尾显示不清"报告的存图情况
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