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《Chinese Medical Record》 2017-01
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Application of PDCA in the Improvement of Medical Record Management

Wu Luge;  
Objective To investigate the application of PDCA in the improvement of medical record management.Methods 320 medical records managed with routine method from January 2014 to January 2015 were set as the control group,while 320 medical records managed with PDCA from March 2015 to March 2016 were set as the experimental group,then compared the quality of medical records management respectively.Results In the experimental group,307(95.94%) were A grade medical records,13(4.06%) were B grade,and 0(0.00%)were C grade,95.94%of them were high quality medical records.In the control group,286(89.38%) were A grade medical records,23(7.19%) were B grade,and 11(3.44%) were C grade,89.38%of them were high quality medical records,the differences were statistically significant(x~2=10.127;P=0.001).The time of pigeonholing in experimental group was obviously decreased than that of control group,experimental group lose 0medical record while control group lose 5,the differences were statistically significant(t=-21.309,X~2=5.039;P0.05).Conclusions To use PDCA in medical records management could obviously increase the quality of medical records.The time of pigeonholing and losing rate were decreased.Besides,the degree of satisfaction of patients and medical workers were obviously increased.
【CateGory Index】: R197.323
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