【摘要】 目的探讨品管圈方法在降低住院病案首页出院诊断漏填中的应用效果。方法成立品管圈小组,选定"降低住院病案首页出院诊断漏填率"为活动主题,将活动目标值设定为7.4%,遵循PDCA循环,按照品管圈十大步骤进行主题改善活动。并对比活动前后住院病案首页出院诊断漏填率,计算改善幅度,评价活动的有形及无形成果。结果通过3个月的活动,住院病案首页出院诊断漏填率明显低于活动前,漏填率由16.6%降至6.17%,完成目标值7.4%,改善幅度为63%。结论品管圈活动提升了工作人员的管理水平,规范了工作步骤,降低了住院病案首页出院诊断的漏填率,进而有效提高病案质量。更多还原

【Abstract】 Objective To explore the effect of using Quality Control Circle(QCC) to reduce the missing rate of discharge diagnosis in the medical record front sheet. Method Set up a QCC team at first and select "Reducing the missing rate of discharge diagnosis in the medical record front sheet" as the QCC activity theme, and the goal score was set as 7.4%. In accordance with PDCA cycle and the ten steps of QCC, theme activities were conducted. The missing rates were compared between the data before and after the activity, and the improvement scale was calculated with the tangible and intangible results assessed. Results The missing rate of discharge diagnosis in the medical record front sheet was significantly decreased from 16.6% to 6.17% in three month, got well results than the goal score with an improvement ratio of 63%. Conclusion The management level of the staff were improved and the working procedures were standardized by QCC, and the missing rate of discharge diagnosis in the medical record front sheet was deceased, thus the quality of medical record was improved.更多还原