Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.992172
Yunming Li, Fan Wu, Chi Zheng, Kaiwen Hou, Kuiying Wang, Nianyi Sun, Ben Xu, Jing Zhao, Yong Li
AbstractObjectives. To explore the effect of ARIMA (Auto Regressive Integrated Moving Average) models in predicting the outpatient volume, the short-term prediction of the outpatient volume of a hospital, and to provide a basis for hospital management decisions related to outpatient volume. Methods. Extract the outpatient data for the period between January 2010 and March 2014 from the information system of a first-class grade A general hospital. The time series modeler in PASW (Predictive Analytics Software) was used in combination with ARIMA models, the model effect was evaluated, and the outpatient volumes for the next 2 years were predicted. Results. The number of outpatients during 2010–2013 amounted to 3.036 million, with an annual average growth rate of 24.07%. (Male/female ratio 0.81/1, mean age 40.36 ± 19.32, internal/external medicine ratio 1.35/1.) Based on the outpatient volume during 2010–2013, the predicted value of the outpatient volume in the first quarter of 2014 had a relative error of 4...
{"title":"Predictive Analysis of Outpatient Volumes of a First-class Grade A General Hospital through ARIMA Models","authors":"Yunming Li, Fan Wu, Chi Zheng, Kaiwen Hou, Kuiying Wang, Nianyi Sun, Ben Xu, Jing Zhao, Yong Li","doi":"10.3109/23256176.2014.992172","DOIUrl":"https://doi.org/10.3109/23256176.2014.992172","url":null,"abstract":"AbstractObjectives. To explore the effect of ARIMA (Auto Regressive Integrated Moving Average) models in predicting the outpatient volume, the short-term prediction of the outpatient volume of a hospital, and to provide a basis for hospital management decisions related to outpatient volume. Methods. Extract the outpatient data for the period between January 2010 and March 2014 from the information system of a first-class grade A general hospital. The time series modeler in PASW (Predictive Analytics Software) was used in combination with ARIMA models, the model effect was evaluated, and the outpatient volumes for the next 2 years were predicted. Results. The number of outpatients during 2010–2013 amounted to 3.036 million, with an annual average growth rate of 24.07%. (Male/female ratio 0.81/1, mean age 40.36 ± 19.32, internal/external medicine ratio 1.35/1.) Based on the outpatient volume during 2010–2013, the predicted value of the outpatient volume in the first quarter of 2014 had a relative error of 4...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116990671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AbstractPurpose. To increase the accuracy of coding for infantile diarrhea. Method. Case records of diarrhea, from January 2011 to December 2013, were searched in a hospital through the medical record management system, and the coding on the front page of the records was subjected to retrospective investigation and analysis. Results. During these years, 5.44% of all discharged patients were cases of infantile diarrhea, the majority of which were infants, accounting for 61.27%, followed by children, accounting for 17.27%. In 2011 and 2012, the codes for infantile diarrhea were mistakenly classified as K52.9. Through reviews of medical records, it was found that as a matter of fact, infectious diarrhea accounted for 70.49%, and non-infectious diarrhea accounted for 29.56%. Conclusion. The hospital should reinforce the training given to clinicians in writing the front page of medical records, along with ICD-10 training. The staff involved in the coding work should communicate with clinicians better, thereby ...
{"title":"A Discussion on ICD-10 Coding of Infantile Diarrheal Disease","authors":"Daqiao Zhu, Lijiang Yong, Wenjun Zhang, Shaoyong Huang","doi":"10.3109/23256176.2014.988965","DOIUrl":"https://doi.org/10.3109/23256176.2014.988965","url":null,"abstract":"AbstractPurpose. To increase the accuracy of coding for infantile diarrhea. Method. Case records of diarrhea, from January 2011 to December 2013, were searched in a hospital through the medical record management system, and the coding on the front page of the records was subjected to retrospective investigation and analysis. Results. During these years, 5.44% of all discharged patients were cases of infantile diarrhea, the majority of which were infants, accounting for 61.27%, followed by children, accounting for 17.27%. In 2011 and 2012, the codes for infantile diarrhea were mistakenly classified as K52.9. Through reviews of medical records, it was found that as a matter of fact, infectious diarrhea accounted for 70.49%, and non-infectious diarrhea accounted for 29.56%. Conclusion. The hospital should reinforce the training given to clinicians in writing the front page of medical records, along with ICD-10 training. The staff involved in the coding work should communicate with clinicians better, thereby ...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116322466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.988960
Junying Li
AbstractThe application of medical records as valuable medical data is increasingly broadening in scope, so it is more important to maintain medical record availability. By analyzing the specific problems in the medical record management work in a secondary general hospital, the storeroom management can be strengthened from the aspects of archiving, storing and borrowing of medical records, so as to improve the medical record availability. The following measures are adopted: by establishing the archiving rate notification system in the departments and improving the medical record recovery monitoring system, the discharge medical records can be archived promptly; by enhancing the management of the medical record storeroom, the storeroom management system can be perfected, and the medical records can be stored safely, orderly and scientifically by setting up a medical record checking team; by strengthening the management of borrowing medical records, improving the medical record borrowing system, and establ...
{"title":"Countermeasures for Maintaining Medical Record Availability","authors":"Junying Li","doi":"10.3109/23256176.2014.988960","DOIUrl":"https://doi.org/10.3109/23256176.2014.988960","url":null,"abstract":"AbstractThe application of medical records as valuable medical data is increasingly broadening in scope, so it is more important to maintain medical record availability. By analyzing the specific problems in the medical record management work in a secondary general hospital, the storeroom management can be strengthened from the aspects of archiving, storing and borrowing of medical records, so as to improve the medical record availability. The following measures are adopted: by establishing the archiving rate notification system in the departments and improving the medical record recovery monitoring system, the discharge medical records can be archived promptly; by enhancing the management of the medical record storeroom, the storeroom management system can be perfected, and the medical records can be stored safely, orderly and scientifically by setting up a medical record checking team; by strengthening the management of borrowing medical records, improving the medical record borrowing system, and establ...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132795116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.992165
Jianjun Li, B. Huang, Qian Cen, Guanglei Zhao
AbstractObjective. To discuss the problems in coding of percutaneous coronary intervention. Methods. Collecting 216 medical records of percutaneous coronary intervention, analyzing the mistakes of major surgery completed, and coding by ICD-9-CM-3 coding principles. Results. Of the records analyzed, 69 records had errors, the total error rate was found to be 31.9%. The main mistake committed by the coders was the omission of the code for the coronary artery, accounting for 53.2%. Conclusion. We should strengthen special training on knowledge of the ICD-9-CM3 principles of coding for coronary artery stenting surgery for cardiologists, and improve the level of business and coding ability of coders. The joint efforts of both parties will reduce the error rate in the coding of percutaneous coronary intervention.
{"title":"Error Analysis and Discussion on ICD-9-CM-3 Coding of 216 Percutaneous Coronary Interventions","authors":"Jianjun Li, B. Huang, Qian Cen, Guanglei Zhao","doi":"10.3109/23256176.2014.992165","DOIUrl":"https://doi.org/10.3109/23256176.2014.992165","url":null,"abstract":"AbstractObjective. To discuss the problems in coding of percutaneous coronary intervention. Methods. Collecting 216 medical records of percutaneous coronary intervention, analyzing the mistakes of major surgery completed, and coding by ICD-9-CM-3 coding principles. Results. Of the records analyzed, 69 records had errors, the total error rate was found to be 31.9%. The main mistake committed by the coders was the omission of the code for the coronary artery, accounting for 53.2%. Conclusion. We should strengthen special training on knowledge of the ICD-9-CM3 principles of coding for coronary artery stenting surgery for cardiologists, and improve the level of business and coding ability of coders. The joint efforts of both parties will reduce the error rate in the coding of percutaneous coronary intervention.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116053601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.988950
Pang Duanxiao
A medical syndrome is a group of disease symptoms involving multiple systems and organs, and there are various naming categories. Most of the symptoms listed in the ICD-10 (International Classifi cation of Diseases) are named by transliteration of the surnames of the discoverers, while the clinical doctors in our country often use the “ conventional name ” or “ common name ” and other names in the written diagnosis, which may be a problem for the coders. In this paper, by analyzing three situations of the naming structure for syndromes, the author elaborates the direct search method and the code search method, according to the disease classifi cation principles which are commonly used for searching for the disease code of a syndrome, and points out the issues that should be paid attention to in the work of coding disease syndromes. It also analyzes the search methods of several disease syndromes, and provides a reference for medical record administrators to help them in the process of cataloging the diseases.
{"title":"A Discussion on the Method of Classifi cation of Medical Syndromes in the ICD-10","authors":"Pang Duanxiao","doi":"10.3109/23256176.2014.988950","DOIUrl":"https://doi.org/10.3109/23256176.2014.988950","url":null,"abstract":"A medical syndrome is a group of disease symptoms involving multiple systems and organs, and there are various naming categories. Most of the symptoms listed in the ICD-10 (International Classifi cation of Diseases) are named by transliteration of the surnames of the discoverers, while the clinical doctors in our country often use the “ conventional name ” or “ common name ” and other names in the written diagnosis, which may be a problem for the coders. In this paper, by analyzing three situations of the naming structure for syndromes, the author elaborates the direct search method and the code search method, according to the disease classifi cation principles which are commonly used for searching for the disease code of a syndrome, and points out the issues that should be paid attention to in the work of coding disease syndromes. It also analyzes the search methods of several disease syndromes, and provides a reference for medical record administrators to help them in the process of cataloging the diseases.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"163 S3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113953372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.988957
Ya-jie Hu, Yao Liu, Jinfeng Liang
AbstractThe 2011 version of the accreditation standards for a level 3 general hospital relates to descriptions about the use of medical record information; 636 entries in 378 items and 48 core indexes in seven chapters relate to medical record information. Of these items, 103, accounting for 27.25%, relate to all chapters, and 22 relate to core entries, accounting for 45.83%. Chapter seven almost fully concerns daily statistical evaluation. There are at least about 150 links that should be carried out in combination with medical records in the process of accreditation, and therefore, the importance and effect of medical records in accreditation becomes obvious. The hospital accreditation standards further suggest that the science, discipline construction, and continuous improvement of medical information management should be given the same priority as record writing quality in hospital development, and thereby medical information can be used effectively.
{"title":"The Use of Medical Record Information in the 2011 Version of the Accreditation Standards for a Level 3 General Hospital","authors":"Ya-jie Hu, Yao Liu, Jinfeng Liang","doi":"10.3109/23256176.2014.988957","DOIUrl":"https://doi.org/10.3109/23256176.2014.988957","url":null,"abstract":"AbstractThe 2011 version of the accreditation standards for a level 3 general hospital relates to descriptions about the use of medical record information; 636 entries in 378 items and 48 core indexes in seven chapters relate to medical record information. Of these items, 103, accounting for 27.25%, relate to all chapters, and 22 relate to core entries, accounting for 45.83%. Chapter seven almost fully concerns daily statistical evaluation. There are at least about 150 links that should be carried out in combination with medical records in the process of accreditation, and therefore, the importance and effect of medical records in accreditation becomes obvious. The hospital accreditation standards further suggest that the science, discipline construction, and continuous improvement of medical information management should be given the same priority as record writing quality in hospital development, and thereby medical information can be used effectively.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130551969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.988977
Li Liu, A. Wu, Hui Yu, Nan Wang, Hang Li
AbstractObjectives. To analyze the operations management of a public hospital using a combination of TOPSIS and GRA, and to provide appropriate assessment techniques for hospital operations management. Method. The index data of operations management were collected for the period from 2010 to 2013. TOPSIS was used to evaluate the annual data, and GRA was used to analyze the main influencing factors. Results. From 2010 to 2013, the TOPSIS Ci values were 0.038, 0.183, 0.552 and 0.038, the efficiency of the hospital's operations management improved each year, the top three influencing factors were found to be the outpatient appointment rate, hospital visits, and the average hospitalization days. Conclusions. The results of combined utilization of TOPSIS and GRA were consistent with the actual operational situation; the effective use of the evaluation methods provides a new and appropriate assessment technique for hospital management.
{"title":"Comprehensive Evaluation of Operations Management of a Hospital by TOPSIS and GRA","authors":"Li Liu, A. Wu, Hui Yu, Nan Wang, Hang Li","doi":"10.3109/23256176.2014.988977","DOIUrl":"https://doi.org/10.3109/23256176.2014.988977","url":null,"abstract":"AbstractObjectives. To analyze the operations management of a public hospital using a combination of TOPSIS and GRA, and to provide appropriate assessment techniques for hospital operations management. Method. The index data of operations management were collected for the period from 2010 to 2013. TOPSIS was used to evaluate the annual data, and GRA was used to analyze the main influencing factors. Results. From 2010 to 2013, the TOPSIS Ci values were 0.038, 0.183, 0.552 and 0.038, the efficiency of the hospital's operations management improved each year, the top three influencing factors were found to be the outpatient appointment rate, hospital visits, and the average hospitalization days. Conclusions. The results of combined utilization of TOPSIS and GRA were consistent with the actual operational situation; the effective use of the evaluation methods provides a new and appropriate assessment technique for hospital management.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130479774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.992174
Xin-zhi Yue, R. Zhou, Tianwen Chen, C. Pu, Yuping Wu
AbstractObjective. To evaluate the clinical effects of implementing the clinical pathway management method. Methods. Comparing and evaluating the indexes of average hospitalization expense, average length of stay, preoperative average length of stay, and patient satisfaction, in two groups. One included 5268 cases of clinical pathway management for five diseases (clinical pathway group), and the other group included 5895 cases not treated under clinical pathway management (traditional group), from May 2010 to May 2013 in the hospital. Results. The differences in the average hospitalization expense and medicine expense of patients with nodular goiter, between the clinical pathway group and the traditional group, were not statistically significant (P > 0.05), but the auxiliary examination expense in the clinical pathway group was significantly decreased (P < 0.001); the differences in the average auxiliary examination expense for patients with simple appendicitis between the two groups were not statisticall...
{"title":"Evaluation of the Effect of Implementation of Clinical Pathway in a 3A Hospital in Shenzhen","authors":"Xin-zhi Yue, R. Zhou, Tianwen Chen, C. Pu, Yuping Wu","doi":"10.3109/23256176.2014.992174","DOIUrl":"https://doi.org/10.3109/23256176.2014.992174","url":null,"abstract":"AbstractObjective. To evaluate the clinical effects of implementing the clinical pathway management method. Methods. Comparing and evaluating the indexes of average hospitalization expense, average length of stay, preoperative average length of stay, and patient satisfaction, in two groups. One included 5268 cases of clinical pathway management for five diseases (clinical pathway group), and the other group included 5895 cases not treated under clinical pathway management (traditional group), from May 2010 to May 2013 in the hospital. Results. The differences in the average hospitalization expense and medicine expense of patients with nodular goiter, between the clinical pathway group and the traditional group, were not statistically significant (P > 0.05), but the auxiliary examination expense in the clinical pathway group was significantly decreased (P < 0.001); the differences in the average auxiliary examination expense for patients with simple appendicitis between the two groups were not statisticall...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114144264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.992167
Yu Zhu
AbstractObjective. We discuss the surgical code for selective resection of dorsal penile nerves. Method. Adopting ICD-10 and F52.4 (premature ejaculation) as search terms, 277 medical records from 2009 to 2013 are retrieved from the medical record statistical management system; among these medical records, there are 210 cases of surgery. Using the ICD-9-CM-3 (2008 version) as the reference book, the quality of coding for selective resection of dorsal penile nerves is retrospectively analyzed. Result. There are 124 cases which are wrongly coded as 64.2 for local excision or destruction of penile lesions, 51 cases which are wrongly coded as 64.4 for penis repair and anaplasty, and 35 cases which are wrongly coded as 03.1 for intramedullary rhizotomy or rhizotomy; and the error rate is 16.66%; the correct code should be 04.03 for other cranial nerves and peripheral neurotomy or angiotripsy, and the detailed code should be 04.0301. Conclusion. The misjudgment of the scope of surgery, surgical method and anato...
{"title":"Discussion on the Surgical Code for Selective Resection of Dorsal Penile Nerves","authors":"Yu Zhu","doi":"10.3109/23256176.2014.992167","DOIUrl":"https://doi.org/10.3109/23256176.2014.992167","url":null,"abstract":"AbstractObjective. We discuss the surgical code for selective resection of dorsal penile nerves. Method. Adopting ICD-10 and F52.4 (premature ejaculation) as search terms, 277 medical records from 2009 to 2013 are retrieved from the medical record statistical management system; among these medical records, there are 210 cases of surgery. Using the ICD-9-CM-3 (2008 version) as the reference book, the quality of coding for selective resection of dorsal penile nerves is retrospectively analyzed. Result. There are 124 cases which are wrongly coded as 64.2 for local excision or destruction of penile lesions, 51 cases which are wrongly coded as 64.4 for penis repair and anaplasty, and 35 cases which are wrongly coded as 03.1 for intramedullary rhizotomy or rhizotomy; and the error rate is 16.66%; the correct code should be 04.03 for other cranial nerves and peripheral neurotomy or angiotripsy, and the detailed code should be 04.0301. Conclusion. The misjudgment of the scope of surgery, surgical method and anato...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127232470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-15DOI: 10.3109/23256176.2014.988973
Hong Zhang, X. Wei, Mingjiang Zhu
AbstractObjective. To analyze the influence of the preliminary rectification of medical record first page filling on the HQMS data, in order to propose corresponding management measures to improve the extraction quality of HQMS data. Methods. Data about the first page of the discharge medical records were collected and a statistical analysis was carried out before rectification, between September and November in 2013, and after rectification, between December in 2013 and January and February in 2014. Results. After rectification, some data of HQMS are significantly improved, such as the no-filling rate of the grade of surgical anesthesia, which fell from 12.80% to 9.61% (χ2 = 4.84, P < 0.05); the filling error rate of blood transfusion reaction, which fell from 2.69% to 0.88% (χ2 = 22.20, P < 0.05); and the filling error rate of surgical complications, which fell from 2.33% to 0.88% (χ2 = 43.66, P < 0.05). However, some data of HQMS have not shown significant improvement after rectification. Conclusion. T...
AbstractObjective。分析病案首页填写初审整改对HQMS数据的影响，提出相应的管理措施，提高HQMS数据提取质量。方法。收集出院病历首页数据，对整改前、2013年9月至11月、整改后、2013年12月至2014年1月至2月进行统计分析。结果。整改后，HQMS部分数据有明显改善，如手术麻醉等级未填充率由12.80%降至9.61% (χ2 = 4.84, P < 0.05);输血反应填充错误率由2.69%降至0.88% (χ2 = 22.20, P < 0.05);手术并发症充填错误率由2.33%降至0.88% (χ2 = 43.66, P < 0.05)。但整改后，HQMS部分数据并没有明显改善。结论。T…
{"title":"The Influence of Human Factors on Medical Record First Page Filling, on HQMS Data","authors":"Hong Zhang, X. Wei, Mingjiang Zhu","doi":"10.3109/23256176.2014.988973","DOIUrl":"https://doi.org/10.3109/23256176.2014.988973","url":null,"abstract":"AbstractObjective. To analyze the influence of the preliminary rectification of medical record first page filling on the HQMS data, in order to propose corresponding management measures to improve the extraction quality of HQMS data. Methods. Data about the first page of the discharge medical records were collected and a statistical analysis was carried out before rectification, between September and November in 2013, and after rectification, between December in 2013 and January and February in 2014. Results. After rectification, some data of HQMS are significantly improved, such as the no-filling rate of the grade of surgical anesthesia, which fell from 12.80% to 9.61% (χ2 = 4.84, P < 0.05); the filling error rate of blood transfusion reaction, which fell from 2.69% to 0.88% (χ2 = 22.20, P < 0.05); and the filling error rate of surgical complications, which fell from 2.33% to 0.88% (χ2 = 43.66, P < 0.05). However, some data of HQMS have not shown significant improvement after rectification. Conclusion. T...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127223286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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