目的探讨提升病案三日归档率的措施,提出改进策略。方法将品管圈活动应用于提高病案三日归档率工作之中,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,对比活动前后病案三日归档率,计算改善幅度,评价活动的有形及无形成果。结果通过开展活动,我院内科病案三日归档率由之前的42.5%上升为80%,外科病案三日归档率由之前的28.9%上升为53.0%,全院病案三日归档率由37.1%上升为69.6%。结论通过品管圈活动,病案三日归档率显著提升,病案室工作人员的业务素质及能力水平有所提高,但距三级综合医院标准尚有差距,仍需继续努力。 Objective To explore measures to improve the filing rate of medical records for three days and to propose improvement strategies. Methods The quality control circle activities were applied in the work of improving the filing rate of medical records for three days. The activities were carried out in accordance with the theme selection of quality control circle activities, the formulation of plans, the grasping of the current situation, the setting of goals, the analysis of causes, the formulation of measures and so on. Before and after the case on the 3rd filing rate, calculate the rate of improvement, evaluation of the activities of the tangible and intangible results. Results The number of medical records in our hospital increased from 42.5% to 80% three days earlier, and the rate of three-day medical record filing increased from 28.9% to 53.0%. The three-day filing rate increased from 37.1% 69.6%. Conclusion Through the QA activities, the filing rate of medical records increased significantly on the 3rd and the professional qualifications and ability of medical staff in the medical records room increased. However, there is still a gap between the standards of tertiary general hospitals and the continuous efforts are required.