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纸质住院病案回收的强化管理
引用本文:李莉娜,张贵京,王焱.纸质住院病案回收的强化管理[J].中国病案,2021(1):7-10.
作者姓名:李莉娜  张贵京  王焱
作者单位:清华大学第一附属医院(北京华信医院)
摘    要:目的 通过分析纸质住院病案回收管理中应用质量管理工具及相应管理方法的效果,探讨病案管理科学化的思路和举措.方法 回顾2016年1月1日-2019年12月31日某三级综合医院109 171份纸质住院病案回收情况动态变化,总结管理过程中多种质量管理工具及管理方法的应用情况.结果 自2015年4月起针对纸质住院病案回收进行精...

关 键 词:纸质  住院病案  回收  管理工具  科学化

Strengthening Management of the Recovery of Paper Inpatient Medical Records
Li Lina,Zhang Guijing,Wang Yan.Strengthening Management of the Recovery of Paper Inpatient Medical Records[J].Chinese Medical Record,2021(1):7-10.
Authors:Li Lina  Zhang Guijing  Wang Yan
Institution:(The First Hospital of Tsinghua University,Beijing 100016,China;不详)
Abstract:Objectives By analyzing the effect of applying quality management tools and corresponding management methods in the recovery management of medical records, to explore the strategies and measures for scientific management of medical records. Methods The dynamic changes of the recovery of medical records in a tertiary general hospital from 2016 to 2019 were reviewed, and the application of quality management tools and methods in the management process was described. Results The fine management measures on medical record recovery have been implemented since April 2015. The quality management tools such as check list, Quality Control Circle(QCC), fish bone map, Plato and PDCA-cycle were applied. 24-hour recovery rate in 2016 was 13.38% higher than the rate in 2015. Compared to 24-hour recovery rate in 2016, it got a similar result in 2017. The recovery rate of medical record improved in 2018 and in 2019 which reached to 90.54% and 93.43% separately. From 2015 to 2019, medical record returning status were obviously improved on the whole.24-hour of recovery rate increased from 70.22% to 93.43%, 48 recovery rate increased from 94.23% to 99.71%. Conclusions A variety of quality management tools combined with appropriate management methods could effectively improve medical records recovery status and promote the scientific management of medical records.
Keywords:Paper  Inpatient medical records  Recovery  Quality management tools  Scientific
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