PDCA法对DRG入组率的改善效果

Improvement Effect of PDCA Method on DRG Enrollment Rate

目的通过分析PDCA循环法对提高住院病案首页管理及改善DRG入组率的效果,以提升住院病案首页管理质量。方法随机抽取2021年5月1日-2022年4月30日出院的33000份住院病案首页为对照组,随机抽取2022年5月1日-2023年4月30日出院的33000份住院病案首页为研究组。对照组实施常规管理,研究组实施PDCA循环法管理。对比两组DRG入组率、住院病案首页质量及填报缺陷、病案管理差错事件及患者满意度。结果DRG入组率、住院病案首页甲、乙级率及患者满意度研究组分别为99.39%、99.73%、99.52%,均高于对照组的91.05%、95.45%、92.32%,差异有统计学意义(P<0.05)。住院病案首页填报缺陷总发生率与病案管理差错事件总发生率研究组分别为0.21%、0.08%,均低于对照组的5.68%、4.42%,差异有统计学意义(P<0.05)。结论PDCA循环法用于住院病案首页管理的效果显著,有利于改善DRG入组率,提升住院病案首页质量,临床可进一步推广应用。

Objectives This study aims to analyze the effect of the PDCA cycle method on improving the management of inpatient medical records and improving the DRG enrollment rate,so as to improve the quality of inpatient medical record management.Methods The front pages of 33,000 inpatient medical records discharged from May 1,2021 to April 30,2022 were randomly selected as the control group,and the front pages of another 33,000 inpatient medical records discharged from May 1,2022 to April 30,2023 were selected as the study group.The control group implemented routine management,while the research group implemented PDCA cycle management.The DRG enrollment rate,the quality of the front page of inpatient medical records and filling defects,medical record management error events,and patient satisfaction between the two groups were compared.Results The DRG enrollment rate,the front page A and B rates of inpatient medical records,and the patient satisfaction rate of the study group were 99.39%,99.73%,and 99.52%respectively,which were all higher than those of the control group(91.05%,95.45%,and 92.32%),and the differences were statistically significant(P<0.05).The total incidence of defects in filling in the front page of inpatient medical records and the total incidence of medical record management errors in the study group were 0.21%and 0.08%respectively,which were both lower than the 5.68%and 4.42%in the control group,and the differences were statistically significant(P<0.05).Conclusions The PDCA cycle method is effective in managing the front page of inpatient medical records,which is conducive to improving the admission rate of DRG management and enhancing the total effective rate of inpatient case home management.This method can be further promoted and applied in clinical practice.