CAJ | 학술논문

目的探寻提高临床科室出院病案三日归档率的对策.方法采取抽样法对2011年11月和2012年4月的出院病人病案三日内归档情况进行统计和分析.结果采取改进措施后,内科增幅最高的科室达到了92.53%,平均增幅75.40%;外科增幅最高的科室达到了97.44%,平均增幅83.17%.部分科室三日归档率达到100%.结论医院各级部门提高病案管理重视程度、信息资料科成立品质管理小组、健全病案管理制度、加强病案室与其它科室工作交流是提高病案三日内归档率行之有效的措施.
목적탐심제고림상과실출원병안삼일귀당솔적대책.방법채취추양법대2011년11월화2012년4월적출원병인병안삼일내귀당정황진행통계화분석.결과채취개진조시후,내과증폭최고적과실체도료92.53%,평균증폭75.40%;외과증폭최고적과실체도료97.44%,평균증폭83.17%.부분과실삼일귀당솔체도100%.결론의원각급부문제고병안관리중시정도、신식자료과성립품질관리소조、건전병안관리제도、가강병안실여기타과실공작교류시제고병안삼일내귀당솔행지유효적조시.
@@@@Objective To discuss the countermeasure of improving medical record three days archiving rate in clinical departments .Methods Counting and analyzing three days archiving of discharged patients in November 2011 and April 2012 by sampling .Results The growing rate of the highest grow th internal medicine department reached 92 .53% .The average increase is 75 .40% .The growing rate of the highest growth surgical department reached 97 .44% . The average increase is 83 .17% .Some departments reached 100% .Conclusion The hospital departments at al levels should improve medical record management importance ,set up quality management team ,found medical record management system ,strengthen communication with other departments to improve three days archiving rate .