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目的探讨在二级综合医院出院电子病历归档管理中开展品管圈活动的效果。方法将品管圈活动应用于提高电子病历三日归档率、七日归档率工作之中,按照品管圈活动的主题选定、计划拟定、现状把握、目标设定、要因解析、对策拟定等步骤开展活动,对比活动前后2015年9月1日-2015年9月30日和2016年9月1日-2016年9月30日出院的电子病历三日归档率和七日归档率,评价活动的有形成果及无形成果。结果通过品管圈活动,全院三日归档率由32.3%提高到58.5%,各临床科室三日归档率均提高15~30%,差异有统计学意义;全院七日归档率由67.5%提高到91.6%,各临床科室七日归档率均提高10~20%,差异有统计学意义。结论本次品管圈活动能明显提高出院电子病历归档率,提高圈员们的责任心、沟通能力、专业知识、解决问题的能力、团队精神、工作积极性,促进品管手法的掌握。
Objective To explore the effect of quality control circle activities in the electronic medical records archiving management at the second level general hospital. Methods The QA activities should be applied to improve the filing rate of electronic medical records for three days and the filing rate of seven days. According to the theme selection of quality control circle activities, the plan formulation, current situation control, target setting, factor analysis and countermeasure formulation Steps To carry out activities comparing the three-day filing rate and the seven-day filing rate of eHR discharged before September 1, 2015 - September 30, 2015 and September 1, 2016 - September 30, 2016, the evaluation activities Tangible results and intangible results. Results Through QA activities, the filing rate of the whole hospital increased from 32.3% to 58.5% in three days, and the archival rates of all clinical departments increased by 15-30% on the third day with a statistically significant difference. The filing rate of the hospital on the seventh day increased from 67.5% To 91.6%. The filing rates of all clinical departments increased by 10% to 20% on the 7th day, with statistical significance. Conclusion The quality control activities can significantly improve the filing rate of discharged electronic medical records and enhance the circle of responsibility, communication skills, professional knowledge, problem-solving skills, team spirit and work enthusiasm, and promote the mastery of quality control practices.