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目的降低病案ICD编码错误率,提高病案工作人员业务水平和管理效能。方法将品管圈活动应用于病案ICD编码工作中,按照品管圈活动的10个步骤实施各项活动,对比活动前、后ICD编码错误率,计算改善幅度,评价活动的有形成果与无形成果。结果开展品管圈活动后,工作人员编码错误例数明显减少,病案ICD编码错误率由活动前的24.57%降低到活动后的8.13%,改善幅度为66.90%。工作人员在品管圈活动手法运用、团队凝聚力、学习积极性、集体荣誉感等方面有明显提高。结论通过品管圈活动提高了工作人员的管理水平和工作技能,规范了工作步骤,降低了病案ICD编码错误率,从而提升了病案编码质量。
Objective To reduce the error rate of ICD coding of medical records and improve the operational level and management efficiency of medical record staff. Methods The quality control circle activities were applied to ICD coding of medical records, and each activity was implemented according to 10 steps of quality control circle activities. The error rates of ICD coding before and after activities were compared to calculate the improvement range, and the tangible and intangible outcomes of evaluation activities . Results After conducting QC activities, the number of errors in staff coding was significantly reduced. The error rate of ICD coding was reduced from 24.57% before exercise to 8.13% after exercise, an improvement of 66.90%. Staff in the quality control activities, team cohesion, learning enthusiasm, a sense of collective honor and so has significantly improved. Conclusion Through the quality control circle activities, the management level and work skills of staff members have been improved, the working procedures have been standardized, the ICD coding error rate has been reduced, and the quality of medical record codes has been enhanced.