|
|
|
| Influencing factors of delayed filing of medical records in the internal medicine department |
| Gu Yuting, Weng Jun, Peng Zhigang |
| The First Affiliated Hospital of Sun Yatsen University, Guangzhou 510080, China |
|
|
|
|
Abstract Objective To explore the influencing factors of delayed filing of medical records, and to provide countermeasures for improving the filing rate of medical records within 7 working days. Methods The medical record filing data in the fourth quarter of each year from 2019 to 2020 in a hospital were collected, and the influencing factors were screened by logistic regression analysis. Results Logistic regression analysis showed that the protective factors of delayed filing of medical records were refined medical record management policies (OR=0.341) and moderate number of inpatients discharged by the attending physician per month (OR>21-44=0.371). Risk factors were transfer of departments (OR=1.901), readmission (OR=1.337), operation (OR=1.737), medical insurance of diagnosisintervention packet (OR=1.542), month with long holidays (OR=1.864), great number of inpatients discharged by the attending physician per month (OR>44=1.743), case classification (ORurgent=2.669, ORintractable=1.809, ORcritical=2.487) and longer length of stay (OR>5-12 d=1.659; OR>12 d=2.038). Conclusion Delayed filing of medical records is affected by many factors. Carrying out refined medical record management policies, regulating appropriate workload of attending physicians and focusing on the management of medical records with delayed filing risk factors, can effectively improve the filing rate of medical records within 7 working days.
|
|
Received: 11 June 2021
|
|
|
|
［1］唐彩云,陈彩霞,林佩珊,等.某市医疗机构病案管理现状调查分析［J］.中国病案,2021,22(2):1-4.
［2］梁春玲,杨文珊.11篇提高病案归档率的文献回顾［J］.现代医院,2019,19(9):1315-1317.
［3］翁志雄,余志金,林燕峰,等.2017年—2018年某三甲综合医院病案归档措施实施前后的效果分析［J］.中国病案,2020,21(3):1-3.
［4］马金火.奖惩机制在病案回收管理中的应用［J］.中国医院统计,2020,27(2):147-148.
［5］迪里木拉提·买买提,古扎力阿衣·肉孜,阿布都沙拉木·依米提.住院病案回收率影响因素分析［J］.中国病案,2017,18(4):5-7.
［6］周婧.江苏省某院病案归档现状及影响因素分析［J］.中国病案,2020,21(5):1-3.
［7］赵沙沙.某院心外科病案归档现状分析［J］.中国病案,2021,22(3):8-11.
［8］尤秀芝,赵芹,何萍.短信平台在病案归档管理中的应用［J］.中国病案,2015,16(9):4-5.
［9］王世吉.病案回收延迟的应对［J］.中国病案,2020,21(7):11-12. |
| [1] |
Yin Yuhua, Wu Huatun, Zhu Jianqian. Research on the status quo of medical record quality and the influencing factors of unqualified rate in a hospital[J]. journal1, 2021, 28(5): 438-442. |
| [2] |
Gu Yuting, Weng Jun, Peng Zhigang. Random sampling of medical records based on SAS[J]. journal1, 2021, 28(4): 380-384. |
| [3] |
Chen Lehui, Zhang Rui, Xue Dongmei, Wu Du. Relationship between serum γ-glutamyltransferase levels and metabolic syndrome in an elderly population[J]. journal1, 2021, 28(3): 215-219. |
| [4] |
Yu Xiao. Analysis of risk factors for non-reflow after percutaneous coronary intervention in patients with acute ST-segment elevation myocardial infarction based on random forest algorithm[J]. journal1, 2021, 28(1): 6-11. |
| [5] |
Zhang Xingzhen, Huang Jian, Xi Weiwei, Ying Jun. Diagnosis of minimal change disease based on optimized logistic regression model[J]. journal1, 2020, 27(6): 498-501. |
| [6] |
Xiang Fengming, Zhou Jie, Zhang Danyun, Zhang Xian. Application of lasso-logistic model in the analysis of septic shock influencing factors after percutaneous nephrolithotripsy[J]. journal1, 2020, 27(6): 502-505. |
|
|
|
|
