2023年胸痛中心质控报告-全国版

ChestpaincenterofChinaqualityreport 组织编写单位：国家放射与治疗临床医学研究中心胸痛中心专家委员会苏州工业园区东方华夏心血管健康研究院 摘要 第一部分中国胸痛中心组织管理体系··································································4第二部分中国胸痛中心验收体系········································································6一、中国胸痛中心验收标准·······················································································7二、胸痛中心建设与管理流程····················································································7第三部分中国胸痛中心质控体系········································································8一、中国胸痛中心外部质控工作机制··········································································9二、胸痛中心常态化质控的有效工具··········································································9第四部分中国胸痛中心建设情况·······································································10一、中国胸痛中心验收/建设数量·············································································11二、各省胸痛中心建设情况·····················································································111.各省二级以上医院胸痛中心建设比例（注册数量/二级以上医院数量）····················122.各省胸痛中心注册数量情况············································································123.各省胸痛中心验收数量情况············································································134.各省胸痛中心验收通过率（通过验收数量/注册总数）·········································135.各省每百万常住人口胸痛中心数量···································································14三、各省胸痛中心救治高危胸痛患者情况···································································15四、标准版胸痛中心关键指标分析············································································171.全部STEMI患者发病到首次医疗接触（S2FMC）时间·············································172.行PPCI治疗的STEMI患者入门至导丝通过（D2W）时间········································193.全部STEMI患者来院方式···············································································204.发病12h以内STEMI患者接受再灌注治疗的比例·················································215.STEMI患者出院带药符合指南推荐的比例···························································226.STEMI患者院内死亡率···················································································237.STEMI患者平均住院天数················································································248.STEMI患者平均住院费用················································································25五、基层版胸痛中心关键指标分析············································································261.全部STEMI患者发病到首次医疗接触（S2FMC）时间·············································26 2.行PPCI治疗的STEMI患者入门至导丝通过（D2W）时间········································283.行转运PCI治疗的STEMI患者在非PCI医院的入门至出门(DIDO)时间·····················294.行溶栓治疗的STEMI患者入门至开始溶栓（D2N）时间·········································305.全部STEMI患者来院方式···············································································316.发病12h以内STEMI患者接受再灌注治疗的比例·················································327.STEMI患者出院带药符合指南推荐的比例···························································338.STEMI患者院内死亡率···················································································339.STEMI患者平均住院天数················································································3510.STEMI患者平均住院费用···············································································36第五部分胸痛中心随访开展总结·······································································37第六部分胸痛救治单元建设总结·······································································40第七部分全国心电一张网·心电诊断中心建设总结···············································43第八部分中国胸痛中心2023年总结··································································45一、全国胸痛中心验收及建设数量持续提升，形成全国胸痛救治网络······························46二、全国胸痛中心持续规范化、高质量运行，取得积极成效··········································46三、智慧胸痛中心建设起航，打造有序、连接、高效的“智慧”胸痛救治体系··················47四、深化胸痛中心体系建设、加速胸痛救治单元建设····················································47五、促进技术与体系融合，心血管领域重磅大会联合举办··············································47六、持续推进千县工程胸痛中心和心电一张网·心电诊断中心建设·································47七、国家胸痛中心专家委员会正式成立······································································48八、主流媒体合作，拓展胸痛中心宣传广度及深度·······················································48九、广泛开展公众教育，提升群众健康素养································································48十、提升胸痛中心大数据建设与科研，助力胸痛中心救治··············································49第九部分中国胸痛中心2024年规划··································································50第十部分附件·······························································································52一、标准版胸痛中心关键指标情况············································································53二、基层版胸痛中心关键指标情况··········································································103 摘要 中国胸痛中心自2013年建立自主验收体系，目前已经形成一整套完整、严谨、科学的建设标准和评审流程，全国胸痛中心建设在国家放射与治疗临床医学研究中心指导下，由国家胸痛中心专家委员会统一组织推动，组织架构主要由国家胸痛中心专家委员会指导下的协调工作组织机构与专家体系组成。中国胸痛中心截至2023年12月，注册单位5725家，通过验收2660家（标准版1273家、基层版1387家），全国330个地市（州）至少有一家胸痛中心，全国实现县域96%覆盖。 2023年国家胸痛中心专家委员会在国家放射与治疗临床医学研究中心的指导下，持续推动全国胸痛中心科学、规范地建设与发展。①全国胸痛中心验收及建设数量持续提升，形成全国胸痛救治网络；②全国胸痛中心持续规范化、高质量运行，取得积极成效；③智慧胸痛中心建设起航，打造有序、