PDCA结合访谈法在提高病案回收率的应用

To Improve the Recovery Rate of Medical Records with the Application of PDCA Circulation combined with Interview Method

目的探讨运用PDCA循环结合访谈法改进某院病案回收不及时情况,为提高病案回收率提供参考。方法 PDCA循环法和访谈法,分析病案回收不及时的原因,讨论有效解决措施等。对实施管理前后的2016年一季度与2017年一季度、二季度病案回收数量、回收率、科室分别进行比较,运用卡方检验进行统计计算。结果管理前后分月比较,2、3、7个工作日回收率%分别由23%提高到41%、由38%提高到51%、由65%提高到90%(P<0.05)。2017年二季度7个工作日病案回收率达90%以上。7个工作日未回收病案数量排名前6科室与管理后比较,未回收病案数量减少了352份,减少了50.5%。结论运用PDCA循环结合访谈法管理病案回收,明显提高病案回收率。

Objectives To conduct a discussion on the application of PDCA cycle combined with interview method improvement of a medical record recovery is not timely, in order to provide reference for improving the recovery rate of medical records. Methods PDCA circulation method and interview method were adopted to analyze the reasons why medical records were not recovered in time and discuss effective solutions. The number of medical records, the rate of recovery and the departments of medical records in the first quarter of 2016 and the one or two quarter of 2017 were compared before and after the implementation of management, and the chi square test was used to calculate the data. Results Before and after the management, the recovery rate of 2, 3, 7 working days was increased from 23% to 41%, from 38% to 51%, from 65% to 90% （P〈0. 05）. 2017 more than 7 working days in the second quarter recovery of 90% of medical records. The number of medical records that were not recovered in the 7 working days ranked 50.5% in the first 6 departments. Compared with the management, the number of medical records not recovered was reduced by 352. Conclusions With the application of PDCA circulation and interview method to manage medical record recovery, obviously improved the recovery rate of medical records.