摘要
目的通过使用PDCA循环的管理办法提高病案ICD-10编码的准确率。方法某三级甲等医院病案统计室成立质量持续改进CQI小组,遵循PDCA循环4个阶段、8个步骤的原则实施PDCA循环管理,随机抽取2016年8月-2016年10月每月各500份病案,比较运用PDCA循环法前后的ICD-10编码准确率。结果出院病案ICD-10编码准确率明显提高,从实施前的75.4%提升至86.4%。实施过程中准确率呈现逐步上升的趋势,达到预定的目标值,编码准确率比较差异有统计学意义(P<0.01)。结论运用PDCA循环法能够有效提高ICD-10编码准确率,增强编码员的责任意识,提高医师书写疾病诊断准确性,加强了病案统计室管理水平。
Objective To improve the accuracy of ICD-10 with the application of PDCA circulation management method. Methods Form a CQI group, obey the four stages of PDCA and eight steps to enhance the accuracy ICD-10.During the three months activity of the theme of enhancing the accuracy of ICD-10, ask question, analyze cause, set aim, work out and carry out a plan, check results and summarize it. Practice the next PDCA and compare the accuracy of ICD-10. Result There was an obvious advancement of accuracy of ICD-10 in discharged medical records. The accurate rate increased from 75.4% during investigation to 86.4% after three months. The rising of accuracy would get the expectation. Conclusion The application of PDCA would obviously enhance the accuracy of ICD-10. We should pay attention to the responsibility and advance the accuracy of diagnosis and administration ability of medical record department.
作者
关曼璐
虎翼
杜永强
马娟
李颖
王金莲
方浩
Guan Manlu,Hu Yi,Du Yongqiang,Ma Juan,Li Ying,Wang Jinlian,Fang Hao(The Cardiovascular and Cerebrovascular Disease Hospital of Ningxia General Medical University, Yinchuan 750011, Chin)
出处
《中国病案》
2018年第5期26-29,共4页
Chinese Medical Record
