|
|
Improvement of the three-day filing rate of outpatient medical records with PDCA method |
Huang Yanhong,Tu Chuanfa, Wang Lihong |
Department of Medical Records Statistics,Taizhou First People's Hospital,Taizhou 318020,China |
|
|
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.
|
Received: 28 February 2020
|
|
|
|
[1]李少玲.某医院病案归档情况分析[J].中国医院统计,2018,25(1):62-64.
[2]翟飞.病历归档及时性管理心得体会[J].中国病案,2013,14(10):13-15.
[3]贾农,罗薇.DRGs评价体系应用于医院管理运行模式探讨[J].中国医院统计,2019,26(4):289-293.
[4]梁景星,赵跃宝,黄勇,等.基于DRGs付款下高倍率病例的病案首页诊断与手术操作填写和编码缺陷分析[J].中国医院统计,2019,26(4):307-310.
[5]杨燕媚.病案归档管理对疾病诊断相关分组及病案首页质量的影响[J].中国医院统计,2019,26(3):239-241.
[6]关国琼,刘好.运用PDCA循环法提高编码准确率[J].中国医院统计,2017,24(5):396-398.
[7]浙江省卫生健康委员会.浙江省综合医院等级评审标准:2019版[M].杭州:浙江科学技术出版社,2019.
[8]陈慧瑛.PDCA循环管理措施对手术室Ⅱ类清洁切口手术患者的感染控制效果分析[J].中国医院统计,2018,25(1):36-39.
[9]杨莲,马磊,康昌春,等.PDCA闭环管理在临床路径持续改进中的应用[J].中国医院统计,2016,23(4):277-279.
[10]DEMIREL A.Improvement of hand hygiene compliance in a privatehospital using the Plan-Do-Check-Act (PDCA ) method[J].Pak JMed Sci,2019,35(3):721-725.
[11]杨国莉,于军,李树满.PDCA循环法在提高住院病归档率管理中的运用[J].医疗装备,2017,30(4):72-73.
[12]陈细定,王霞云.运用PDCA对提高医院病案归档率的作用[J].中国病案,2017,18(3):4-6.
[13]王向云.PDCA方法在病案归档管理中的应用[J].中国病案,2014,15(1):6-8.
[14]朱锦丽.等级医院评审中PDCA循环在病案归档中的应用[J].兰台内外,2019(3):14-16.
[15]李海燕.PDCA循环对病历归档率影响的分析[J].山西医药杂志,201847(1):92-93.
[16]周洪伟,严珊.品管圈PDCA-SDCA方法促进病历及时归档[J].中外女性健康研究,2019(22):22-24.
[17]赵学英,梁永宾,陈彤,等.PDCA循环在病案回收管理的应用[J].中国病案,2017,18(12):4-6.
|
[1] |
Liu Xinkui,Yang Linpeng,Shang Xiaoping, Dong Yichao. . Quality analysis of homepage data of inpatient cases of public tertiary hospitals in Henan Province[J]. journal1, 2020, 27(3): 272-274,279. |
[2] |
Ma Jinhuo.. Application of award and punishment mechanism in medical record recycling management[J]. journal1, 2020, 27(2): 147-148. |
[3] |
Lu Jianjun, Li Heng′ai, Hu Fang, Zhou Yingling.. Analysis of deaths of inpatients in a tertiary teaching hospital from 2012 to 2018[J]. journal1, 2020, 27(1): 64-66. |
[4] |
Li Yan, Zhang Jinjie, Gai Keke, Gao Xinfu, Lü Guangyao, Wang Bin. . Application of FOCUS-PDCA model in reducing the drug repercussion rate in the outpatient pharmacy of our hospital[J]. journal1, 2020, 27(1): 74-78. |
[5] |
Wen Jianzhen,Chen Danfen,Jiang Lifeng,Yang Shuai. Analysis of medical record utilization in a general hospital from 2010 to 2017
[J]. journal1, 2019, 26(6): 471-473. |
[6] |
Lu Wei. Research progress of medical record management methods[J]. journal1, 2019, 26(5): 397-400. |
|
|
|
|