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目的探究PDCA循环管理模式在出院病案管理中的应用效果。方法以某院肿瘤外科为试点,以2016年9月至2017年2月期间1000例住院患者作为研究对象,随机分为两个组别,对照组出院病案采用传统管理模式,试验组采用PDCA管理模式,比较两组患者出院病案的管理效果。结果与对照组相比,试验组患者出院病案的提交时间明显缩短(1.78±0.47d vs.2.85±1.07d),返修率也明显降低(1.6%vs.15.4%),而出院病案的完整性和规范性评分显著升高,差异均具有显著统计学意义(均P<0.01)。结论对于某院肿瘤外科出院病案的管理,PDCA循环管理模式效果显著,不仅能够缩短出院病案提交的时间,降低病历返修率,还可提升出院病案质量。
Objective To explore the application of PDCA cycle management model in hospital discharge case management. Methods Tumor surgery in a hospital as a pilot to 1000 inpatients from September 2016 to February 2017 as a study object, were randomly divided into two groups, the control group of discharged medical records using the traditional management model, the experimental group using PDCA management Mode to compare the management results of discharge cases of two groups of patients. Results Compared with the control group, the submission time of patients in the experimental group was significantly shorter (1.78 ± 0.47d vs.2.85 ± 1.07d) and the rate of rework was significantly lower (1.6% vs.15.4%), while the completeness of discharged cases And normative scores were significantly increased, the differences were statistically significant (P <0.01). Conclusion The PDCA cycle management model has significant effect on the management of surgical discharge cases in a hospital, which not only shortens the submission time of medical records, reduces the rate of medical records rework, but also improves the quality of discharged medical records.