首页|基于PDCA循环理论的质控管理模式在病案质量管理中的应用

基于PDCA循环理论的质控管理模式在病案质量管理中的应用

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目的 探讨计划-实施-检查-处理(plan-do-check-act,PDCA)循环理论的质控管理模式在病案质量管理中的应用效果。方法 随机选取2023年1—4月广东省农垦中心医院收治的200例采用常规管理模式进行病案质量管理的患者为对照组,再随机选取2023年5—8月广东省农垦中心医院收治的200例采用PDCA循环理论的质控管理模式的患者为观察组。比较2组患者病案的首页质量、病案管理质量评分及病案管理出现的差错情况。结果 观察组优秀病案高于对照组,差异有统计学意义(P<0。05)。观察组医师查房记录、恶性肿瘤放化疗治疗表、出院记录评分分别为(23。51±2。76)分、(24。21±2。74)分、(24。54±5。81)分,均高于对照组的(21。10±2。63)分、(19。48±2。63)分、(20。63±2。65)分,差异有统计学意义(P<0。05)。观察组差错情况总发生率为8。50%,低于对照组的19。00%,差异有统计学意义(P<0。05)。结论 在病案质量管理中应用PDCA循环理论的质控管理模式能够有效提升病案质量,同时降低管理中存在的失误情况,避免发生风险,让管理过程更加严谨。
Application of Quality Control Management Model Based on PDCA Cycle Theory in Medical Record Quality Management
Objective To explore the application effect of the plan-do-check-act (PDCA) cycle theory in quality control management mode in medical record quality management. Methods A total of 200 patients admitted to Guangdong Agricultural Reclamation Center Hospital from January to April 2023 who underwent routine medical record quality management were randomly selected as the control group,and another 200 patients admitted to Guangdong Agricultural Reclamation Center Hospital from May to August 2023 who underwent PDCA cycle theory quality control management were randomly selected as the observation group. The quality of the front page of medical records,medical record management quality scores,and errors in medical record management were compared between two groups of patients. Results The excellent medical records of the observation group were higher than those of the control group,and the difference was statistically significant (P<0.05). In the observation group,the scores of doctors' ward rounds,malignant tumor chemoradiotherapy and discharge records were (23.51±2.76) points,(24.21±2.74) points and (24.54±5.81) points,respectively,which were higher than (21.10±2.63) points,(19.48±2.63) points and (20.63±2.65) points in the control group,and the difference was statistically significant (P<0.05). The total incidence of error in the observation group was 8.50%,lower than 19.00% in the control group,and the difference was statistically significant (P<0.05). Conclusion The application of PDCA cycle theory in quality control management of medical records can effectively improve the quality of medical records,reduce errors in management,avoid risks,and make the management process more rigorous.

PDCA cycle theoryquality control management modemedical record quality managementquality of the front pagemedical record management quality scoreserror situation

罗梓菁、郑景文、林晓云、莫华飞

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广东省农垦中心医院质量控制科,广东湛江 524002

PDCA循环理论 质控管理模式 病案质量管理 首页质量 病案管理质量评分 差错情况

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(20)