病案延迟归档的原因及改进  

The Causes of Medical Records Delay Archiving and Improvement Measurements

作　　者：罗美芳[1] 王舒[1] 朱艳红[1] 毕兆荣[1] 

机构地区：[1]江苏省徐州市解放军第97医院病案室,徐州市221004

出　　处：《中国病案》2016年第3期13-15,共3页Chinese Medical Record

摘　　要：目的探讨提高普通病案3日归档率,死亡病案7日归档率的对策。方法采用卡方检验对2014年7月-12月和2015年3月-8月22 841份出院病案归档率进行统计和分析。结果干预前10 887份出院病案中归档5045份,归档率为46.3%,采取措施后,分析2015年3月-8月11 954份出院病案,归档8630份,归档率为72.2%,提高了25.9%。结论医院各级部门应重视病案归档工作,病案管理委员会要发挥其相应的职能,建立有效的病案管理制度和奖惩制度是提高病案按期归档率的有效措施。Objective To investigate the countermeasures record in 3 days and death medical record in 7 days. Methods filing rate of 22841 discharged medical records from July to Results In the first 10887 cases, 5045 cases were discharged of improving filing efficiency of ordinary medical Xe test was used to conduct statistical analysis on the December in 2014 and March to August in 2015. from hospital discharge records, the filing rate was 46. 3%, and the measures were taken to extract the medical records of 11954 cases from to 2015, 8630 copies were filed, and the filing rate increased to 72.2%, which increased by 25.9%. Conclusions The hospital departments at all levels should pay attention to the work of medical record arehiving, and the Medical Record Committee should be responsible for relevant functions. To establish effective medical records management rules as well as reward and punishment system are effective measures to improve the archiving rate of medical records.

关 键 词：病案 延迟归档 病案管理委员会 改进措施 

分 类 号：R197.323[医药卫生—卫生事业管理]