利用行政措施促进四级病案质量监控制度的落实

目的观察行政措施对病案质量监控制度落实的促进作用。方法通过一系列行政措施,保障四级病案质控制度落实。结果前后共抽查8418份病案,比较前后时段的问题病案比率、差错频数、差错构成比。采取措施前后问题病案比率由29.99%（1080份/3682份）下降到25.76%（1220份/4736份）。每份差错病案问题频数由1.99下降到1.34。责任心问题所致问题频数由0.95下降到0.83。能力问题所致问题频数由0.98下降到0.51。病案差错构成比较中,责任心问题比率由62.04%下降到50.84%;能力问题比率则由37.96%上升到49.16%。卡方检验χ2=47.36,P〈0.005,双侧。结论行政措施促进了病案质量制度的落实,能帮助改善病案质量。

Promoting 4-level Monitoring about Medical Record Quality by Administrative Measure

Objective To observe facilitation of administrative measures to medical record quality monitoring system implementation.Methods Ensure 4-level monitoring system implementation through a series of administrative measures.Results 8418 records were selective checked.Comparing ratio,mistakes frequency and mistakes constituent ratio of defect medical records from beginning to end.The ratio of defects medical records drop from 29.99%(1080 / 3682) to 25.76%(1220 / 4736).The mistakes frequency of medical records drops from 1.99 to 1.34.The ratio of responsibility problems drops from 62.04% to 50.84%.The ratio of problems caused by capability rose from 37.96% to 49.16%.χ2=47.36,P<0.005,double sides.Conclusion Administrative measures promote the implementation of the medical record quality system,improve the quality of medical records.