住院患者医疗费用错误计价分析与防范

Analysis of errors in medical cost account of inpatients and their countermeasures

目的分析医疗费用错误计价的因素,探讨防范措施。方法以某部队医院2008-2009年度23个科室为调查对象,对计算机医疗收费管理系统、医生下达医嘱情况以及护士核对保存医嘱等进行统计学分析。结果 2009年度较2008年度医嘱错误数目减少683条;医疗费用的计价错误降低95.6万元。结论不断改进收费管理系统程序,强化医护人员责任心,改善培训方式,可有效降低医疗费用的计价错误。

Objective To analyze the causes of errors in medical cost account and their countermeasures. Methods Medical cost management, medical orders and preserved nurse-checked medical orders in 23 department of a certain Chinese PLA hospital from 2008 to 2009 were analyzed. Results The reduced number of errors in medical orders was 683 in 2009 compared with 2008. The reduced medical cost account was 956-thousand yuan RMB compared with 2008. Conclusion Errors in medical cost account can be effectively reduced by improving medical cost management system software, strengthening responsibility of medical staff, and perfecting training methods.