住院病案归档现状分析及持续改进

Mei Yang
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AbstractObjective。通过不断改进出院患者病历的归档方法,提高临床科室出院病历的归档率。方法。根据2012年4月- 9月、2013年4月- 2013年9月病案录入系统统计的各科室出院患者病案的归档时间和出院时间,计算病案归档率,并对延迟归档的病案进行统计分析,提出改进措施。结果。2012年4 - 9月出院病历4714份,2天存档率为81.5%,7天存档率为95.7%;但采取改善措施后,全院2013年4 - 9月出院病历5557份,2天存档率97.6%,7天存档率99....
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Analysis of the Current Situation in the Archiving of Inpatient Medical Records, and Its Continuous Improvement
AbstractObjective. To improve the archiving rate of discharge medical records of clinical departments by continuously improving the method of archiving the medical records of discharged patients. Method. The archiving rate of medical records was calculated and those medical records for which archiving was delayed, were analyzed statistically, to propose improvement measures according to the archiving time and discharge time on the medical records of discharged patients in various departments, which were counted by a medical record entry system during April 2012 and September 2012 as well as April 2013 and September 2013. Result. For 4,714 discharge medical records from April to September in 2012, the two-day archiving rate was 81.5%, and the seven-day archiving rate was 95.7%; however, after the improvement measures were taken, there were 5,557 discharge medical records in the whole hospital from April to September in 2013, the two-day archiving rate was 97.6%, and the seven-day archiving rate reached 99....
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