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目的探讨戴明(PDCA)循环在病案回收管理中的应用价值。方法回顾性选取实施PDCA循环前2013年1—12月广东省河源市龙川县中医院收治的11 258例患者病案资料,收集实施PDCA循环后2014年1—12月我院收治的12 035例患者病案资料,比较PDCA循环前后病案回收率、甲级病案率。结果 2014年病案3 d回收率、7 d回收率、甲级病案率均明显高于2013年,差异均有统计学意义(均P<0.05)。结论在病案回收管理中应用PDCA循环法,可明显提高病案回收率,改善病案质量。
Objective To explore the value of Deming (PDCA) circulation in the management of medical record recovery. Methods The data of 11 258 cases treated by Longchuan County Hospital of Traditional Chinese Medicine, Heyuan City, Guangdong Province from January to December 2013 before the implementation of PDCA cycle were retrospectively collected. 12 035 cases treated in our hospital from January to December 2014 after PDCA circulation were collected. Patient records data, comparing the PDCA cycle recovery rate before and after the case, Grade A case rate. Results The rates of 3-day recovery, 7-day recovery and Grade-A case were significantly higher in 2014 than those in 2013 (all P <0.05). Conclusions The application of PDCA cycle in the management of medical record recovery can obviously improve the recovery rate and improve the medical record quality.