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目的回顾2012年出院病历归档情况,总结加强病案管理的措施。方法运用Excel对我院17111份出院病历归档情况进行对比统计,采用SPSS13.0统计学软件进行统计学分析。结果出院病案24小时归档率为8.18%,5日归档率为71.2%。病案及时归档率呈逐月下降趋势,各科室间病案归档率存在显著性差异。结论提高病案及时归档率重在医院病案管理制度的落实,医院领导应充分认识病案管理在医院管理中的重要地位,对病案迟归现象应引起足够重视。
Objective To review the status of discharged medical records in 2012 and summarize the measures to strengthen medical records management. Methods Excel was used to compare the 17,111 cases of medical records in our hospital, and the statistical software SPSS13.0 was used for statistical analysis. Results The filing rate at 24 hours was 8.81% and the filing rate was 71.2% on the 5th. The timely filing rate of medical records showed a downward trend month by month, there was a significant difference in the filing rates of medical records between departments and departments. Conclusion Increasing the rate of timely filing of medical records in the implementation of the medical records management system in hospitals should be fully understood by the hospital leaders. The hospital leaders should fully understand the important position of medical records management in hospital management.