中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2015年
3期
72-73
,共2页
入院计划单%病案质量%PDCA
入院計劃單%病案質量%PDCA
입원계화단%병안질량%PDCA
hospital admission schedule%medical record quality%PDCA
目的：探讨基于入院计划单填写完整率的病案质量管理持续改进方案。方法：应用PDCA质量改进方法对病案书写质量进行持续改进，将病历书写质量中需要实现的目标、内容分解为计划阶段、执行阶段、检查阶段和总结处理阶段。通过发现问题，制定目标，培训人员，加强检查力度和质量反馈，在每个循环末总结成绩，发现问题，提出整改措施，并将解决发现的问题作为下一循环工作的目标。结果：PDCA质量改进方法可以明显提高病历书写质量，入院计划单填写完整率显著提高。结论： PDCA的质量改进模式是一个行之有效的管理方法，使医院病案书写质量沿着一条规范化、螺旋式的上升轨道运行发展。
目的：探討基于入院計劃單填寫完整率的病案質量管理持續改進方案。方法：應用PDCA質量改進方法對病案書寫質量進行持續改進，將病歷書寫質量中需要實現的目標、內容分解為計劃階段、執行階段、檢查階段和總結處理階段。通過髮現問題，製定目標，培訓人員，加彊檢查力度和質量反饋，在每箇循環末總結成績，髮現問題，提齣整改措施，併將解決髮現的問題作為下一循環工作的目標。結果：PDCA質量改進方法可以明顯提高病歷書寫質量，入院計劃單填寫完整率顯著提高。結論： PDCA的質量改進模式是一箇行之有效的管理方法，使醫院病案書寫質量沿著一條規範化、螺鏇式的上升軌道運行髮展。
목적：탐토기우입원계화단전사완정솔적병안질량관리지속개진방안。방법：응용PDCA질량개진방법대병안서사질량진행지속개진，장병역서사질량중수요실현적목표、내용분해위계화계단、집행계단、검사계단화총결처리계단。통과발현문제，제정목표，배훈인원，가강검사력도화질량반궤，재매개순배말총결성적，발현문제，제출정개조시，병장해결발현적문제작위하일순배공작적목표。결과：PDCA질량개진방법가이명현제고병역서사질량，입원계화단전사완정솔현저제고。결론： PDCA적질량개진모식시일개행지유효적관리방법，사의원병안서사질량연착일조규범화、라선식적상승궤도운행발전。
Objectives: To discuss hospital admission schedule integrity rate based medical record continuous quality improvement method. Methods: Applying by PDCA quality improvement method, the objective and content of medical record quality control were divided into 4 processes involves plan, do, check and action. The advantages and disadvantages were summarized when a circle was end and countermeasures and objective of the next circle were designed. Results: PDCA quality improvement method could significantly promote medical record quality and hospital admission schedule integrity rate was significantly increased. Conclusions: PDCA mode is an effective management approach to continuous improving medical record quality.
