Abstract:Objective To explore the effect of PDCA on improving the three-day filing rate of outpatient medical records.Methods The goal of three-day filing rate was determined,the reason of low three-day filing rate was analyzed with brain-storming method,and the change of three-day filing rate of outpatient medical records was analyzed comparatively before (2018) and after (2019)the improvement by PDCA method. Results In the first quarter, the second quarter, the third quarter and the fourth quarter of 2019, the three-day filing rate of the hospital was 75.71%, 87.48%, 95.87% and 96.57% respectively, which was 20.05%, 22.35%, 30.07% and 31.87% higher than that in 2018. In the fourth quarter of 2018, only 21.62% (8/37) departments had a three-day filing rate of 90%, while in the fourth quarter of 2019,97.56%( 40/41) of the improved departments had a three-day filing rate of 90%. Conclusion The effective measures to improve the three-day filing rate of outpatient medical records are to feedback and publish data through wechat group and important hospital meetings, strengthen the legal awareness of medical staff, strengthen the timely communication and cooperation between medical record management personnel and clinical medical staff,and improve the template of electronic medical records.Through the implementation of PDCA method,the filing rate of three-day medical records can be effectively improved.
黄艳红,涂传发,汪李红. 运用PDCA方法提高出院病案3日归档率[J]. 中国医院统计, 2020, 27(3): 275-279.
Huang Yanhong,Tu Chuanfa, Wang Lihong.. Improvement of the three-day filing rate of outpatient medical records with PDCA method . journal1, 2020, 27(3): 275-279.