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目的缩减病理报告归档时间,提高住院病案按时归档率,确保归档后病案的完整性和再利用。方法调查病理报告产生的每一个环节,分析相关数据找出逾期归档的原因,对其中由于人为因素造成的环节进行干预。结果调查分析发现病理报告逾期归档原因包括科室管理、流通环节、患者转科和认识问题,其中的主要原因是科室管理,占60%。结论通过分析病理报告逾期归档原因,针对不同环节实施干预,从而确保病案资料的及时完整,为患者对病案的再利用提供了保障,提高了病案服务质量。
Objective To reduce the time required for filing pathological reports and improve the filing rate of inpatient medical records on time to ensure the integrity and re-use of medical records after archiving. Methods To investigate every aspect of the pathology report, analyze the relevant data to find out the reasons for the overdue archiving, and intervene in the link caused by human factors. Results of the investigation and analysis found that the pathological report overdue archiving reasons include department management, circulation, patient transfer and awareness issues, the main reason is the department management, accounting for 60%. Conclusion By analyzing the reasons for the overdue filing of pathological reports, interventions are conducted according to different aspects so as to ensure timely and complete medical records, which ensures patients’ reuse of medical records and improves the quality of medical records.