医院绩效考核过程中住院病案首页质控效果分析

Analysis of the Quality Control Effect on the First Page of Inpatient Medical Records in the Performance Appraisal Process of Public Hospitals

目的研究分析医院绩效考核对住院病案首页质控效果的影响作用。方法选取青岛优抚医院27名病案管理人员为研究对象。2020年1月—2022年12月实行常规住院病案管理,为参照组,选取该时期300份住院病案。对2023年1—12月实施住院病案首页质控管理,为观察组,选取该时期400份住院病案。比较两组病案首页错误率、病案首页总缺陷发生率、管理满意度。结果观察组病案首页错误率低于参照组,差异有统计学意义(P均<0.05)。观察组住院病案首页总缺陷发生率为9.50%(38/400),低于参照组的32.33%(97/300),差异有统计学意义(χ^(2)=57.416,P<0.05)。观察组病案管理人员管理满意度高于参照组,差异有统计学意义(P<0.05)。结论医院绩效考核过程中住院病案首页质控有助于提高住院病案首页质量。

Objective To study and analyze the influence of public hospital performance assessment on the quality control effect on the first page of inpatient medical records.Methods A total of 27 medical record managers in Qingdao Youfu Hospital were selected as the research objects.From January 2020 to December 2022,routine inpatient medical record management was implemented,and 300 inpatient medical records in this period were selected as the reference group.The quality control management of the front page of inpatient medical records was implemented from January to December 2023,and 400 inpatient medical records in this period were selected as the observation group.The error rate of the first page of the medical record,the total defect rate of the first page of the medical record and the management satisfaction were compared between the two groups.Results The error rate of the first page of the medical record in the observation group was lower than that in the reference group,and the difference was statistically significant(all P<0.05).The incidence of total defects on the front page of inpatient medical records in the observation group 9.50%(38/400)was lower than that in the reference group 32.33%(97/300),and the difference was statistically significant(χ^(2)=57.416,P<0.05).The management satisfaction of medical record managers in the observation group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion The quality control of the front page of inpatient medical records in the process of hospital performance appraisal is helpful to improve the quality of the front page of inpatient medical records.