首页|PDCA循环干预对住院病案管理质量的提升探讨

PDCA循环干预对住院病案管理质量的提升探讨

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目的 探讨PDCA循环干预对住院病案管理质量的提升效果.方法 选取2021年1月—2022年12月日照市中心医院与病案相关的30名工作人员为研究对象.将2021年1—12月实施常规病案管理模式设为对照组,将2022年1—12月实施PDCA循环干预模式设为观察组,每组对应选取100份病案.对比两组病案管理质量、7 d病案上交率、病案返修率、病案管理差错事件发生情况、考核情况.结果 观察组书写水平为(94.96±3.23)分、病案规范性为(94.23±3.22)分、书写质量为(94.63±3.51)分,均高于对照组的(86.96±4.20)分、(86.42±4.63)分、(86.33±4.20)分,差异有统计学意义(t=8.270、7.585、8.306,P均<0.05);观察组7 d病案上交率高于对照组,病案返修率低于对照组,差异有统计学意义(P均<0.05);观察组管理差错事件少于对照组;观察组考核合格率高于对照组,差异有统计学意义(P均<0.05).结论 PDCA循环干预措施,便于提升住院病案管理工作质量,降低管理差错事件发生概率与病案返修率,提高病案上交率与考核合格率.
Discussion on Improving the Quality of Inpatient Medical Record Management with PDCA Cycle Intervention
Objective To explore the effect of PDCA cycle intervention on improving the quality of inpatient medical record management. Methods From January 2021 to December 2022,thirty staff members related to medical records in Rizhao Central Hospital were selected as the research objects. The routine medical record management mode from January to December 2021 was set as the control group,and the PDCA cycle intervention mode from January to Decem-ber 2022 was set as the observation group. Each group selected 100 medical records,and quality of medical record management,7 d medical record submission rate,medical record repair rate,medical record management error events and assessment were compared between the two groups. Results The writing level score of the observation group was 94.96±3.23,the medical record standardization was 94.23±3.22,and the writing quality was 94.63±3.51,which were higher than 86.96±4.20,86.42±4.63,and 86.33±4.20 of the control group,and the differences were statistically signifi-cant (t=8.270,7.585,8.306,all P<0.05). The 7-day medical record submission rate of the observation group was higher than that of the control group,and the medical record revision rate was lower than that of the control group,the differences were statistically significant (both P<0.05). The management error events in the observation group were less than those in the control group. The passing rate of the observation group was higher than that of the control group,and the differences were statistically significant (all P<0.05). Conclusion PDCA cycle intervention measures are conve-nient to improve the quality of inpatient medical record management,reduce the probability of management error events and the rate of medical record revision,improve the rate of medical record submission and the rate of assess-ment pass.

Inpatient recordsManagement qualityPDCA cycleMedical records management

栾艳、郑金玉、高艳

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日照市中心医院病案统计科,山东日照 276826

住院病案 管理质量 PDCA循环 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(16)