CAJ | 학술논문

目的：研究PDCA循环管理模式应用在患者运行病历质量控制上的效果。方法将该院收治的住院患者1000例作为研究对象，随机分为两个组别。对照组患者的病历采用传统管理模式，试验组采用PDCA管理模式。观察两组患者的病历管控效果，评估书写质量。结果试验组患者病历跃90分比例(97.6%)高于对照组(85.2%)，<90分比例(2.4%)低于对照组(14.8%)；患者病历书写的规范性、完整性评分均高于对照组，对比差异具有统计学意义P<0.05。结论对于运行病历质控工作而言，采用PDCA循环管理模式效果显著，能够提高运行病历质量，减少不合格情况，提升书写内涵质量，值得推广应用。
목적：연구PDCA순배관리모식응용재환자운행병력질량공제상적효과。방법장해원수치적주원환자1000례작위연구대상，수궤분위량개조별。대조조환자적병력채용전통관리모식，시험조채용PDCA관리모식。관찰량조환자적병력관공효과，평고서사질량。결과시험조환자병력약90분비례(97.6%)고우대조조(85.2%)，<90분비례(2.4%)저우대조조(14.8%)；환자병역서사적규범성、완정성평분균고우대조조，대비차이구유통계학의의P<0.05。결론대우운행병력질공공작이언，채용PDCA순배관리모식효과현저，능구제고운행병력질량，감소불합격정황，제승서사내함질량，치득추엄응용。
Objective To study the effect of PDCA management mode on the quality control of medical records. Methods 1000 cases of hospitalized patients were randomly divided into two groups. The control group used the traditional manage-ment mode, the experimental group used PDCA management model. To observe the effect of medical records management and control of the two groups, and to evaluated the quality of writing. Results Experimental group medical grade a rate (97.6%) was higher than that of the less 90 group (85.2%), the less 90 group rate (2.0%) was lower than that in control group (9.0%);medical record writing standard, complete score is higher than that of the control group, sharp difference. P<0.05, with statistical significance. Conclusion For the medical record quality control work, the significant effect of PDCA management mode, can improve the rate of grade medical records, reduce unqualified records, improve the quality of writ-ing, worthy of promotion.