FOCUS-PDCA在降低住院病案首页填写缺陷率中的应用  

Application of FOCUS-PDCA in reducing the homepage defect rate of inpatient medical records

作　　者：高雪梅[1] 秦晓华 俎英杰 韩莉[1] GAO Xuemei;QIN Xiaohua;ZU Yingjie;HAN Li(The Fourth People’s Hospital of Jinan,Jinan 250031,China)

机构地区：[1]济南市第四人民医院,山东济南250031

出　　处：《现代医院》2025年第3期363-366,370,共5页Modern Hospitals

摘　　要：目的应用FOCUS-PDCA降低住院病案首页填写缺陷率,为医疗机构和各级行政管理部门提供高质量病案首页数据。方法以“后疫情期”某院住院病案首页问题增多为切入点,运用FOCUS-PDCA管理模式,依据九个执行步骤,采用甘特图、鱼骨图、柏拉图等质量管理工具聚焦问题、分析问题、解决问题,不断循环复盘。以2023年1—3月住院病案首页填写缺陷数量和缺陷率为对照组,对比项目实施前后变化。结果2023年1-3月住院病案首页填写缺陷数量为1734项,缺陷率为15.14%,项目实施后,2023年10-12月住院病案首页填写缺陷数量为890项,缺陷率为6.54%,差异具有统计学意义(P<0.05)。结论运用FOCUS-PDCA方法可有效降低住院病案首页填写缺陷率,对患者基本信息、住院过程信息、诊疗信息等数据质量的提升具有重要促进作用。Objective FOCUS-PDCA was applied to reduce the defect rate on the front page of medical records,and provide high quality data of medical records for medical institutions and administrative departments at all levels.Methods Starting from the increase of problems on the home page of a hospital in the“post-epidemic period”,FOCUS-PDCA management mode was used,according to nine implementation steps,quality management tools such as Gantt chart,fishbone map and Plato were used to focus on,analyze and solve problems,and constantly repeated problems.The number of defects and the rate of defects on the front page of hospitalization records from January to March 2023 were taken as the control group to compare the changes before and after the implementation of the project.Results From January to March 2023,the number of defects on the homepage was 1734,and the defect rate was 15.14%.After the implementation of the project,the number of defects on the homepage of October to December 2023 was 890,and the defect rate was 6.54%,and the difference was statistically significant(P<0.05).Conclusion The method of applying FOCUS-PDCA to reduce the defect rate on the front page of inpatient medical records is effective,which plays an important role in promoting the improvement of the quality of data such as basic patient information,hospitalization process information,and diagnosis and treatment information.

关 键 词：FOCUS-PDCA 住院病案首页 质量控制 

分 类 号：R197.323.1[医药卫生—卫生事业管理]