中国病案
中國病案
중국병안
CHINESE MEDICAL RECORD
2015年
5期
4-5,6
,共3页
病案%高值耗材%条形码%管理%可追溯性
病案%高值耗材%條形碼%管理%可追溯性
병안%고치모재%조형마%관리%가추소성
Medical records%High-profit consumables%Stripe code%Management%Traceability
目的：通过分析病案中高值耗材条形码粘贴中的问题并提出改进措施，以提高条形码粘贴的质量。方法调阅心脏中心导管室整改前整改后1个月以及整改后1年使用高值耗材的出院病案，对条形码粘贴情况进行统计分析。结果整改前条形码粘贴率为37%，条形码粘贴于经皮冠状动脉介入治疗（PCI）报告上12份（14%）、冠状动脉造影报告上43份（50%）、永久起搏器和ICD手术记录上7份（8%）、介入诊断与治疗记录上24份（28%）。整改后1个月和1年高值耗材条形码粘贴率分别为86%和95%，使用专用高值耗材条形码粘贴单的比例分别为5%和100%。结论通过分析病案中高值耗材条形码粘贴问题，采取制定管理制度和粘贴单、培训、加大检查力度等改进措施可有效提高高值耗材条形码的粘贴率及粘贴质量。
目的：通過分析病案中高值耗材條形碼粘貼中的問題併提齣改進措施，以提高條形碼粘貼的質量。方法調閱心髒中心導管室整改前整改後1箇月以及整改後1年使用高值耗材的齣院病案，對條形碼粘貼情況進行統計分析。結果整改前條形碼粘貼率為37%，條形碼粘貼于經皮冠狀動脈介入治療（PCI）報告上12份（14%）、冠狀動脈造影報告上43份（50%）、永久起搏器和ICD手術記錄上7份（8%）、介入診斷與治療記錄上24份（28%）。整改後1箇月和1年高值耗材條形碼粘貼率分彆為86%和95%，使用專用高值耗材條形碼粘貼單的比例分彆為5%和100%。結論通過分析病案中高值耗材條形碼粘貼問題，採取製定管理製度和粘貼單、培訓、加大檢查力度等改進措施可有效提高高值耗材條形碼的粘貼率及粘貼質量。
목적：통과분석병안중고치모재조형마점첩중적문제병제출개진조시，이제고조형마점첩적질량。방법조열심장중심도관실정개전정개후1개월이급정개후1년사용고치모재적출원병안，대조형마점첩정황진행통계분석。결과정개전조형마점첩솔위37%，조형마점첩우경피관상동맥개입치료（PCI）보고상12빈（14%）、관상동맥조영보고상43빈（50%）、영구기박기화ICD수술기록상7빈（8%）、개입진단여치료기록상24빈（28%）。정개후1개월화1년고치모재조형마점첩솔분별위86%화95%，사용전용고치모재조형마점첩단적비례분별위5%화100%。결론통과분석병안중고치모재조형마점첩문제，채취제정관리제도화점첩단、배훈、가대검사력도등개진조시가유효제고고치모재조형마적점첩솔급점첩질량。
Objective To analyze the problems existing in the pasting process of stripe code pasting of high-profit consumables in medical records and put forward improvement measures, so as to improve the pasting quality of stripe code. Methods To investigate the discharged medical records that had used high profit consumables 1 month before and after the rectification of cardiac catheterization center, and conduct analysis on the pasting situation of stripe-code. Results Before rectification, the pasting rate of high profit consumable stripe-coding was 37%, 12(14%) located on the report of percutaneous coronary intervention, 43(50%) pasted on the report of coronary angiograms, 7(8%) pasted on the records of permanent pacemaker implantation or ICD operation records and 24(28%) pasted on records of interventional diagnosis and treatment. The pasting rate of stripe code of high-profit consumables were respectively 86% and 95% one month and one year after the rectification, and the proportion of specific stripe-coding paste sheet were 5% and 100% respectively. Conclusions Through the analysis on the pasting problems of high profit consumable stripe-code in the medical records,we should take measures such as adopt management system and paste sheet, strengthen training and building inspection to improve the paste rate and enhance the pasting quality of the stripe code of high-profit consumables.
