连续PDCA循环模式提高医院电子病历质量

Applying the Continuous PDCA Cycle Mode to Improve the Hospital Electronic Medical Record Quality

目的:探讨连续PDCA循环模式在提高医院电子病历质量中的应用及可行性,建立医院电子病历管理长效机制,提高电子病历质量。方法:对医院电子病历存在的问题进行现状调查,运用连续的PDCA循环对不合理现象进行原因分析,制定计划、实施执行、反馈效果并总结。结果:运用连续PDCA循环后,医院电子病历缺陷率明显下降。结论:连续PDCA循环管理模式用于改善电子病历质量效果显著,可在医院质量管理中推广使用。

Objective To discuss the application and feasibility of the continuous PDCA cycle mode in the continuous improve- ment of the quality of hospital electronic medical records, and to establish the long-term？ mechanism of hospital electronic medical records management for improving the quality of electronic medical records. Methods By investigating the existing hospital electronic medical records, the continuous PDCA cycle mode was applied to analyze unreasonable phenomena, enforce, feedback and summa- rize. Results After the application of the continuous PDCA cycle ,node, hospital electronic medical record defect rate sharply de- creased. Conclusions The application of the continuous PDCA cycle mode could obviously improve the quality of electronic medical records, which can be widely used in hospital quality management.