PDCA法管理对感染预防控制科住院病案质量的影响  

Effect of PDCA management on the quality of hospital records in the infection prevention and control department

作　　者：袁启航 孙仲然 司念 李琳 岳培 汤玉 Yuan Qi-hang;Sun Zhong-ran;Si Nian;Li Lin;Yue Pei;Tang Yu(Department of Infection,Zhengzhou Ninth People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第九人民医院感染科,河南郑州450000

出　　处：《四川生理科学杂志》2024年第10期2350-2353,共4页

摘　　要：目的:研究不同管理方法对感染预防控制科住院病案质量的影响。方法:选取2023年1月至2024年1月就诊于我院感染预防控制科的76例住院患者住院病案作为试验对象,随机分为常规管理组和PDCA法管理组(n=38);对两组住院病案书写格式得分、住院病案问题得分、住院病案质量等多项得分情况进行比较。结果:与常规管理组相比,PDCA法管理组书写不规范、书写差错得分、医嘱单缺少医师签名得分、医嘱未按规定修改得分、住院病案返修率得分降低;手术编码准确率得分、疾病编码准确率得分、3 d后病案上交率得分、住院病案质量得分升高;差异具有意义(P<0.05)。结论:通过PDCA法管理的干预,能有效降低错误发生率,并提升感染预防控制科住院病案质量。Objective:To study the impact of different management methods on the quality of inpatient medical records in the Infection Prevention and Control Department.Method:A total of 76 inpatient medical records of patients who were admitted to the Infection Prevention and Control Department of our hospital from January 2023 to January 2024 were selected as the experimental subjects and randomly divided into a conventional management group and a PDCA management group(n=38).The scores of writing format,problem scores,quality scores,and other scores of the two groups of inpatient medical records were compared.Results:Compared with the conventional management group,the PDCA management group had lower scores in writing irregularities,writing errors,lack of physician signature on the doctor's order sheet,failure to modify the doctor's order as required,and lower rework rate of inpatient medical records;the accuracy rate of surgical coding,the accuracy rate of disease coding,3-day case submission rate,and quality score of inpatient medical records increased;the differences were significant(P<0.05).Conclusion:Through the intervention of PDCA management,it can effectively reduce the incidence of errors and improve the quality of inpatient medical records in the Infection Prevention and Control Department.

关 键 词：PDCA法管理 感染 住院病案 住院病案质量 

分 类 号：R51[医药卫生—内科学] R18[医药卫生—临床医学]