首页|住院病案首页编码任务均衡分配系统应用探索

住院病案首页编码任务均衡分配系统应用探索

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目的 探讨住院病案首页编码任务均衡分配思路,解决编码任务分配不均衡、病案编码时间滞后、编码效率低下等问题.方法 采集2022年7月1日-2022年7月31日出院的27 644份住院病案首页作为对照组,构建住院病案首页编码任务均衡分配系统稳定后,采集2023年2月1日-2023年2月28日出院的22694份住院病案首页作为均衡分配组,比较两组间的病案数量分布、病案编码总天数和病案编码平均天数情况.结果 住院病案首页编码任务均衡分配系统应用后,病案数量分配比例范围从5.93%-8.89%调整为8.23%~8.28%,变异系数从0.105缩小为0.003,每个编码员的平均消耗天数均发生了显著性变化,降低范围为1.97天~4.64天,降幅范围为31.14%~58.8%,出院编码平均耗时天数由6.62天降低到3.42天,且都具有统计学意义.结论 住院病案首页编码任务均衡分配系统不仅使病案编码任务分配更加均衡,还缩短了编码前等待时间,编码效率和编码水平也得到了显著提升.
Exploration on the Application of Balanced Assignment System for Coding Tasks on the Front Page of Inpatient Medical Records
Objectives This study aims to explore the idea of balanced allocation of coding tasks on the front page of inpatient medical records and solve problems such as uneven allocation of coding tasks,delayed coding time of medical records,and low coding efficiency.Methods The front pages of 27644 inpatient medical record discharged from July 1,2022 to July 31,2022 were collected as the control group.After establishing a stable system for balanced assignment of inpatient medical record coding tasks,front pages of 22694 inpatient medical record discharged from February 1,2023 to February 28,2023 were collected as the balanced allocation group.The distribution of the number of medical records,the total number of days of medical record coding,and the average number of days of medical record coding between the two groups were compared.Results After the implementation of the balanced assignment system of inpatient medical record coding tasks,the proportion range of medical record numbers was adjusted from 5.93%-8.89%to 8.23%-8.28%,and the coefficient of variation decreased from 0.105 to 0.003.The average consumption days of each coder have significantly changed,with a decrease range of 1.97-4.64 days and a percentage reduction range of 31.14%-58.80%.Additionally,the average discharge coding time decreased from 6.62 days to 3.42 days,and these changes were statistically significant.Conclusions The system for balanced assignment of inpatient medical record coding tasks not only makes the task allocation more even but also shortens the waiting time before coding.Additionally,the coding efficiency and level have been significantly improved.

Medical record managementMedical record codingTask assignment

奈存剑、何艺、裴益

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华中科技大学同济医学院附属同济医院计算机中心,湖北省,武汉市,430030

华中科技大学同济医学院附属同济医院病案科,湖北省,武汉市,430030

病案管理 病案编码 任务分配

湖北省卫生健康委科研项目

WJ2021M120

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(1)
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