病案信息管理对病案管理质量的影响研究  

Research on the Influence of Medical Record Information Management on the Quality of Medical Record Management

作　　者：孙洁[1] 徐静[1] SUN Jie;XU Jing(Liaocheng People's Hospital,Liaocheng,Shandong 252000)

机构地区：[1]聊城市人民医院,山东聊城252000

出　　处：《科技与健康》2022年第7期120-122,共3页Technology and Health

摘　　要：分析了医院实施病案信息管理对病案管理质量的影响。随机选取2020年4月-2022年6月聊城市人民医院病案室中的200例病案样本数据为研究对象,将其分为对照组(100例)和观察组(100例),对照组患者采用一般性管理模式,观察组加强病案信息质量管理,对两组病案管理问题发生率(指标包括:资料不完整、病案资料毁损、资料丢失、病案管理执行错误、病案缺页)、病案管理质量评分(指标包括:管理效率、管理数字化程度、管理质量、管理措施落实效果、管理技能、管理理念掌握水平)、管理满意度进行对比分析。研究发现,病案信息管理对提升病案管理质量具有非常积极的影响,能显著减少资料不完整、病案资料毁损、资料丢失、病案管理执行错误等病案管理问题的发生,提高档案管理效率、管理数字化程度以及管理质量,适宜在临床病案管理中大力推广。The influence of medical record information management on the quality of medical record management was analyzed.Randomly select 200 medical record sample data from the medical record room of Liaocheng People's Hospital from April 2020 to June 2022 as the research object,and divide them into control group(100 cases)and observation group(100 cases).The control group patients adopt general management mode,and the observation group strengthens the quality management of medical record infonnation,The incidence of medical record management problems in the two groups(indicators include:incomplete data,damage of medical record data,data loss,medical record management execution error,and missing pages of medical record),medical record management quality score(indicators include:management efficiency management digitalization,management quality,implementation effect of management measures,management skills,and management concept mastery level),and management satisfaction were compared and analyzed.The study found that medical record information management has a very positive impact on improving the quality of medical record management,which can significantly reduce the occurrence of medical record management problems such as incomplete data,damage to medical record data,data loss,medical record management execution errors,and improve the efficiency of file management,management digitization and management quality,and is suitable for vigorously promoting in clinical medical record room management.

关 键 词：病案信息管理 病案管理质量 影响 

分 类 号：R197.323[医药卫生—卫生事业管理]