首页|基于PDCA循环的管理模式在病案室中的管理效果及对编码准确率的影响研究

基于PDCA循环的管理模式在病案室中的管理效果及对编码准确率的影响研究

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目的 探究以PDCA循环管理模式为基础的病案管理效果以及对于编码准确率的影响.方法 回顾性选取2023年1-12月潍坊市坊子区人民医院的320份病案资料,采用常规追踪管理的方式对2023年1-6月病案进行病案管理,作为对照组;对2023年7-12月的病案采用PDCA循环管理法进行病案管理,设为观察组,每组病案资料各160份.选择同一批工作人员(n=10)作为研究对象,对比两组管理效果.结果 观察组的病案质量评分高于对照组,差异有统计学意义(P<0.05);观察组病案的收集时间与归档时间均短于对照组,差异有统计学意义(P均<0.05);观察组工作人员的编码准确率高于对照组,且编码修改率低于对照组,差异有统计学意义(P<0.05);观察组工作人员的病案管理失误的发生率低于对照组,差异有统计学意义(P<0.05).观察组的工作情况评分高于对照组,差异有统计学意义(P<0.05).结论 将PDCA循环管理模式应用于病案室管理中,有利于减少病案管理失误问题发生,优化病案质量,缩短病案的收集时间和归档时间,提高工作人员的编码准确率.
Research on the Management Effect of the PDCA Cycle-based Manage-ment Model in the Medical Record Room and Its Impact on Coding Accu-racy
Objective To explore the effect of medical record management based on the PDCA cycle management model and its impact on coding accuracy.Methods Retrospectively selected 320 case data from the People's Hospital of Weifang Fangzi District People's Hospital,from January to December 2023,and used the routine tracking manage-ment method for case management from January to June 2023,as the control group,for the cases from July to Decem-ber 2023,used PDCA cycle management method for case management,set as the observation group,with 160 case data in each group.Ten staff of the same group were selected as study objects to compare the management effect of two groups.Results The medical record quality score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The collection time and archiving time of medical records in the observation group were shorter than those in the control group,the differences were statistically significant(both P<0.05).The coding accuracy rate of staff in the observation group was higher than that in the control group,and the coding modification rate was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence rate of medical record management errors among staff in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The work situation score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Ap-plying the PDCA cycle management model to medical record room management can help reduce the occurrence of medical record management errors,optimize the quality of medical records,shorten the collection time and filing time of medical records,and improve the coding accuracy of staff.

PDCA cycle managementMedical record roomCoding accuracyMedical record management

杜翠敏、刘林香、聂俊青

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坊子区人民医院病案管理科,山东潍坊 261200

PDCA循环管理 病案室 编码准确率 病案管理

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(4)