PDCA循环法在主要诊断选择培训中的应用  

Application of PDCA Cycle Method in Principal Diagnosis Selection Training

作　　者：张莉莉 叶金甜 袁华兵 赵蓉芝 Zhang Lili;Ye Jintian;YuanHuabing;Zhao Rongzhi(Jingmen People's Hospital,Jingmen 448000,Hubei Province,China;不详)

机构地区：[1]荆门市人民医院病案科,湖北省荆门市448000

出　　处：《中国病案》2024年第5期12-14,共3页Chinese Medical Record

基　　金：荆门市科学技术研究与开发计划(2021YDKY015)。

摘　　要：目的探讨将PDCA循环法应用于临床医师主要诊断选择培训的效果,为提高培训质量提供参考。方法选取2022年6月1日-2022年8月31日某院部分科室医师随机分为研究组和对照组,研究组32人,对照组33人。研究组基于PDCA分科室进行主要诊断选择培训。对照组按照传统方法集中培训1次。两组每月给予同步考核,统计考核成绩、主要诊断正确率、各主要错误类型占比及培训满意率。结果研究组学员3轮考核成绩呈递增趋势,对照组无明显变化。第3轮培训考核成绩研究组高于对照组(93.4分vs 78.8分,P<0.001)。研究组出院病案主要诊断正确率培训后优于培训前(91.2%vs 77.0%,P<0.05),且优于对照组培训后情况(91.2%vs 84.5%,P<0.05)。研究组学员培训总体满意率显著优于对照组(90.6%vs 75.8%,P<0.05)。结论与传统培训法比较,PDCA循环法能提升临床医师主要诊断选择培训的效果,提高住院病案首页主要诊断的正确率,值得进一步推广使用。Objectives This study aims to explore the effect of applying the PDCA cycle method to the main diagnosis selection training for clinicians and to provide a reference for improving the quality of training.Methods Clinicians from some departments of a certain hospital from June 1,2022 to August 31,2022 were randomly divided into a research group and a control group,with 32 people in the research group and 33 people in the control group.The research team conducted training on major diagnosis selection based on PDCA sub-departments.The control group was centralized trained once according to the traditional method.The two groups were given simultaneous assessments every month,and the assessment results,main diagnosis accuracy rate,proportion of each main error type,and training satisfaction rate were collected.Results The results of the three rounds of assessments of the students in the research group showed an increasing trend,while there was no significant change in the control group.The results of the third round of training assessment in the study group were higher than those in the control group(93.4 vs 78.8,P<0.001).The accuracy of main diagnoses in discharge medical records of the study group after training was better than before training(91.2%vs 77.0%,P<0.05),and was better than that of the control group after training(91.2%vs 84.5%,P<0.05).The overall training satisfaction rate of trainees in the study group was significantly better than that in the control group(90.6%vs 75.8%,P<0.05).Conclusions Compared with traditional training methods,the PDCA cycle method can improve the effectiveness of clinicians'main diagnosis selection training and improve the accuracy of main diagnoses on the front page of inpatient medical records,which is worthy of further promotion and use.

关 键 词：主要诊断选择培训 PDCA循环法 临床医师 专科编码员 

分 类 号：R197.323[医药卫生—卫生事业管理]