MSA在病案质量监控中的应用  

The Application of MSA in Medical Record Quality Monitor System

作　　者：姚瑶[1] 李妙[1] 袁方[1] 张梅霞[1] 

机构地区：[1]南方医科大学附属珠江医院质量管理科,广州市510280

出　　处：《中国病案》2009年第12期21-23,共3页Chinese Medical Record

基　　金：广东省科技计划项目(2007B031302009);海珠区科技计划项目(2008-Y-16)

摘　　要：目的提高病案质量监控结果的权威性、可比性、统一性。方法通过MSA技术,利用偏倚性、重复性、再现性、系统一致性、漏判率、误判率等评价病案质量监控系统的优劣,实施针对性改进。结果经改进后,偏倚性、重复性、再现性、漏判率、误判率均得到极大改善,系统一致性比率由23%提高到83%≥80%。结论运用MSA法对病案质量监控系统进行分析,可以迅速有效识别影响病案质量监控结果的关键因素,有针对性的实施改进措施,使病案质量监控更加科学、全面、规范。ObjectiveTo improve the authority,comparability and uniformity of the medical record quality monitor result.Method Through MSA technology,evaluate the effect of medical record quality monitor system by using the indexes as bias,repeatability,reproducibility,system consistency,missing report rate and false alarm rate etc.Results The bias,repeatability,reproducibility,system consistency,missing report rate and false alarm rate has been improved greatly.The system consistency rate has increased from 23% to 83%（≥80%）.Conclusion MSA can help to identify the key factors influencing the medical record quality monitor results so as to implement specific improvement measures and improve the scientificity,allsidedness and normatively of medical record quality monitor system.

关 键 词：病案 质量监控 测量系统分析 系统一致性 

分 类 号：R197.3[医药卫生—卫生事业管理]