Abstract：
The report of death cases is an important source of information for cause analysis and monitoring of trends, which can reflect the death situation and characteristics of a population in a relatively accurate manner. It helps understand the health status of the population and the level of healthcare. The special deployment of case review for in-hospital deaths is not only the high priority for health authorities in terms of quality and safety of medical care but also a practical implementation of the concept that values people and life. Currently, there is a lack of scientific and standardized evaluation for the review of death cases in various specialties, excluding maternal and neonatal cases. To standardize the quality control and management of death cases in medical institutions, the Guidelines for quality control and management of death cases in medical institutions (2023) has been developed by the Hunan Province Resuscitation Quality Control Center. The members of the working group of this guideline visited medical institutions, conducted research, reviewed relevant guidelines from domestic and international sources, and integrated clinical experience to form a preliminary consensus. This consensus was submitted to the expert group for multiple discussions, underwent several revisions, and finally, it was sent to the experts in the form of a questionnaire for feedback. The guidelines clarify the scope, data collection, and quality control requirements for death case quality control, providing a reference for the quality control and management of death cases in medical institutions.
摘要：
死亡病例报告是病因分析和趋势监测的重要信息来源,可以相对准确地反映人口的死亡情况和特征。它有助于了解人口的健康状况和医疗保健水平。特别部署住院死亡病例审查，不仅是卫生当局在医疗质量和安全方面的高度优先事项，而且是对重视人和生命的观念的切实贯彻。目前,对各专业死亡病例的审查缺乏科学和规范的评估，不包括孕产妇和新生儿病例。规范医疗机构死亡病例质量控制和管理,湖南省复苏质量控制中心制定了《医疗机构死亡病例质量控制与管理指南(2023)》。本指引工作组成员走访医疗机构,进行研究，审查了国内和国际来源的相关指南，并综合临床经验形成初步共识。这一共识已提交专家组进行多次讨论,经历了几次修改，最后，它以问卷的形式发送给专家以征求反馈。准则明确了范围,数据收集，和死亡病例质量控制的质量控制要求，为医疗机构死亡病例的质量控制和管理提供参考。
