论文部分内容阅读
目的探究PDCA方法在促进病案管理中的应用。方法选取2014年1月-2015年1月常规管理病案320份为对照组,2015年3月-2016年3月PDCA管理后病案320份为实验组,分别比较两组的病案管理质量。结果实验组甲级病案307份(95.94%),乙级13份(4.06%),丙级0份;对照组甲级病案286份(89.38%),乙级23份(7.19%),丙级11份(3.44%)。实验组的病案书写质量明显高于对照组,数据比较差别有统计学意义(χ~2=10.127;P=0.001)。实验组病案归档时间明显较对照组短;实验组的病案丢失数为0份,对照组丢失数为5份(1.56%),实验组病案丢失情况明显好于对照组,两组数据差异比较有统计学意义(t=-21.309、χ~2=5.039;P<0.05)。结论使用PDCA循环管理方法管理病案,能显著提高病案书写质量,病案的归档时间和丢失率明显降低,同时医护人员以及病患对病案管理的满意度大大提升。
Objective To explore the application of PDCA in the promotion of medical record management. Methods A total of 320 routine management cases were selected as the control group from January 2014 to January 2015, and 320 cases after the PDCA management from March 2015 to March 2016 were selected as the experimental group. The quality of medical records management was compared between the two groups. Results A total of 307 cases (95.94%) of Grade A cases, 13 cases (4.06%) of Grade B cases and 0 cases of Grade C cases were included in the experimental group, 286 cases (89.38%) of Grade A cases, 23 cases (7.19%) of Class B cases 11 (3.44%). The quality of medical records in the experimental group was significantly higher than that in the control group, with statistically significant difference (χ ~ 2 = 10.127; P = 0.001). The record time of medical record in the experimental group was significantly shorter than that of the control group. In the experimental group, the number of medical record lost was 0 and that of the control group was 5 (1.56%). The loss of medical record in the experimental group was significantly better than that of the control group Statistical significance (t = -21.309, χ ~ 2 = 5.039; P <0.05). Conclusions The management of medical records by PDCA cycle management method can significantly improve the quality of medical records writing, significantly reduce the filing time and loss rate of medical records, and greatly enhance the satisfaction of medical staff and patients with medical records management.