基于PDCA管理循环的病案回收持续改进

Continuous Improvement of Medical Records Recovery Based on PDCA Management Cycle

目的提高某院病案回收率和回收质量。方法采用PDCA管理循环的方法于2014年1月-2015年12月在制度、管理、流程、人员及技术等多个方面改进病案回收管理,实现病案回收工作的持续改进。结果自2015年患者出院7天回收率稳定在99%左右,3天及2天回收率也分别达90%和80%以上。2015年实施PDCA管理循环后患者出院7天、3天及2天病案回收率均较2014年有显著的提高(P<0.05),达到了预期的效果。结论 PDCA质量管理使制度得到了完善,管理得到了加强,流程得到了改善,人员得到了明确,信息化技术得到了提高,而且也提高了病案回收率和回收质量。

Objective To improve the recovery rate and quality of medical records in our hospital. Methods To improve medical records recovery management from aspects such as system, management, process, personnel and technology from January 2014 to December 2015 with the application of PDCA management cycle, and achieve continuous improvement of medical recovery work. Results The 7 days recovery rate was stabilized around 99% since 2015, and 3 days and 2 days recovery rate were also up to 90% and 80%. The 7 days, 3 days and 2 days retrieval rate of medical records in 2015 had increased significantly（P〈0.05） compared to that in 2014 after the implementation of PDCA management cycle, and achieved the desired effect. Conclusions The PDCA quality management system has been perfected, the management has been strengthened, the process has been improved,the staff had been cleared, the information technology has been improved, and also the quality of medical records and the recovery rate of medical records have also been improved.