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目的探讨持续质量改进模式在内分泌代谢科电子医嘱错计费中的方法和应用价值。方法调查分析某三级甲等医院内分泌代谢科2015年1月—6月电子医嘱错计费的情况(实施前),2015年7月—12月采用持续质量改进的方法管理医嘱(实施后),比较改进前后电子医嘱错计费发生率及总费用。结果实行持续质量改进前后电子医嘱合计错计费分别是71 102.53、6 300.00元,其中治疗费、检查费和材料费错计费发生率比较差异均有统计学意义(P<0.05),护理费错计费发生率比较差异无统计学意义(P>0.05)。结论持续质量改进在控制电子医嘱错计费管理中发挥了积极作用,减少了错计费的发生。
Objective To explore the method and application value of continuous quality improvement in erroneous billing of electronic medical orders in endocrinology and metabolism department. Methods Investigation and Analysis of Endocrinology and Metabolism Section in First Grade Hospital of a Third Class in January-June 2015 Cases of Incorrect Accounting by Electronic Doctor (Before Implementation), July-December 2015 Management of Medical Instructions by Continuous Quality Improvement (After Implementation) , Comparing the improvement before and after the electronic doctor wrong billing rates and total costs. Results Before and after the implementation of continuous quality improvement, the total amount of wrong accounting for electronic medical orders was 71,102.53,6300.00 yuan respectively, of which the incidences of medical expenses, examination fees and material fees were statistically significant (P0.05) There was no significant difference in the incidence of wrong billing (P> 0.05). CONCLUSION Continuous quality improvement has played an active role in the management of wrong accounting of electronic doctor orders, reducing the incidence of wrong accounting.