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目的探讨提高普通病案3日归档率,死亡病案7日归档率的对策。方法采用卡方检验对2014年7月-12月和2015年3月-8月22 841份出院病案归档率进行统计和分析。结果干预前10 887份出院病案中归档5045份,归档率为46.3%,采取措施后,分析2015年3月-8月11 954份出院病案,归档8630份,归档率为72.2%,提高了25.9%。结论医院各级部门应重视病案归档工作,病案管理委员会要发挥其相应的职能,建立有效的病案管理制度和奖惩制度是提高病案按期归档率的有效措施。
Objective To explore ways to improve the filing rate of 3-day ordinary cases and filing rates of 7-day death cases. Methods A total of 22 841 cases of discharges from July 2014 to December 2014 and August to August 2015 were analyzed by chi-square test. Results In the 10 887 cases before the intervention, 5045 cases were filed and the filing rate was 46.3%. After the measures were taken, 11 954 cases were discharged from the hospital in March-August 2015, with 8630 cases filed and the filing rate increased by 72.2%, an increase of 25.9 %. Conclusion Hospital departments at all levels should pay attention to the filing of medical records. The medical records management committee should exert its corresponding functions and establish effective medical records management system and reward and punishment system as effective measures to improve the filing rate of medical records.