摘要
目的对PDCA循环管理模式应用在住院病案管理中的作用进行探究。方法以2021年1—12月未实施PDCA循环管理的200份住院病历档案作为对照组,以2022年1—12月实施PDCA循环管理的200份住院病历档案作为观察组,对比PDCA循环管理前后质量,计算甲级病案率、三日回收率、返修率、投诉率以及患者满意度。结果观察组病案首页漏填或错填、借阅登记缺项、顺序颠倒等差错事件的总发生率低于对照组,对比区别显著(P<0.05);观察组甲级病案率、三日回收率、返修率及投诉率和对照组相比较结果更优,区别均有统计学意义(P<0.05);观察组患者对医院病案管理的满意率为96.00%,对照组为87.50%,对比区别显著(P<0.05)。结论在住院病案管理中落实PDCA循环管理能够大大提高医院病案管理的质量,提高回收率和患者满意率,降低返修率和投诉率,缩短病案整理的时间,推广价值高。
Objective To explore the role of PDCA cycle management model in inpatient medical record management.Methods 200 inpatient medical records without PDCA cycle management from January 2021 to December 2021 were selected as the control group,200 inpatient medical records with PDCA cycle management from January 2022 to December 2022 were taken as the observation group,The quality before and after PDCA cycle management was compared,and the rate of Grade A medical records,3-day recovery rate,repair rate,complaint rate and patient satisfaction were calculated.Results The total incidence of error events such as missing or wrong filling in the first page of medical records,missing items in borrowing registration and reverse order in the observation group was lower than that in the control group,and the difference was significant(P<0.05);The rate of grade A medical records,3-day recovery rate,repair rate and complaint rate of observation group were statistically significant compared with control group(P<0.05);The satisfaction rate of patients with hospital record management was 96.00%in observation group and 87.50%in control group,and the difference was significant(P<0.05).Conclusion The implementation of PDCA cycle management in hospital medical records management can greatly improve the quality of hospital medical records management,improve the recovery rate and patient satisfaction rate,reduce the repair rate and complaint rate,shorten the time of medical records arrangement,and have high promotion value.
作者
许露露
XU Lulu(Department of Medical Records,Fujian Provincial Hospital,Fuzhou Fujian 350028)
出处
《智慧健康》
2024年第1期229-232,共4页
Smart Healthcare
