PDCA循环在提升病案首页信息质量的应用及持续改进(1)
摘 要：目的 探讨PDCA循环的使用在提高病案首页信息质量中的应用价值。方法 选取300例实施PDCA循环的阶段性改进，即进行计划(P)、实施(D)、查核(C)、行动(A)循环的病案首页资料为实验组，同时选取同时期本院未使用PDCA循环模式300例患者為对照组，比较两组病案首页信息缺陷及书写的错误发生率。结果 实验组病案首页信息缺陷率(3.00%)低于对照组(22.67%)，差异有统计学意义(P<0.05);实验组病案首页信息书写错误发生率(1.00%)显著低于对照组(28.00%)，差异有统计学意义(P<0.05)。结论 应用PDCA循环有利于改善病案首页信息，提高病案信息质量，在医疗质量的改进中起到积极的作用。
关键词：PDCA循环;病案首页;信息质量
中图分类号：R197.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.010
, http://www.100md.com
文章编号：1006-1959(2018)05-0027-02
Application and Continuous Improvement of PDCA Circulation in Improving the Information Quality of First Page of Medical Record
GUO Xiao-ping
(Medical Record Room，Pingxiang People's Hospital，Pingxiang 337000，Jiangxi，China)
Abstract：Objective To explore the application value of PDCA circulation in improving the information quality of the first page of the medical record.Methods A total of 300 cases of PDCA cycle improvement were selected，that is，the first-line data of the planning (P)，implementation(D)，check(C)，and action(A)cycles were taken as the experimental group.The 300 patients with PDCA circulation model were the control group.The information defect and writing error rate were compared between the two groups.Results The defect rate of information on the front page of the medical record in the experimental group(3.00%)was lower than that in the control group (22.67%)，the difference was statistically significant(P<0.05)，and the incidence of information error in the front page of the experimental group(1.00%)was significantly lower than that in the control group(28.00%)，the difference was significant(P<0.05). Conclusion The PDCA cycle is helpful to improve the home page information of the medical record.Improving the quality of medical record information plays an active role in the improvement of medical quality.
, 百拇医药
Key words：PDCA cycle;First page of medical record;Information quality
PDCA循环由美国质量管理专家提出的一种按照计划(P)、实施(D)、查核(C)、行动(A)四个阶段进行循环管理的一种方法，广泛应用于医院质量管理并取得了良好的效益[1]。病案首页是病案的窗口，用于评估入院患者疾病情况的载体，其信息质量不仅反映医院医疗决策的水平，还对临床治疗具有重要的指导价值。因此，提高病案首页信息质量，有利于促进医院的长远发展。本文针对病案首页资料的质量问题，运用PDCA循环理论进行质量跟踪，以满足医院及上级主管部门对病案首页的需求。
1资料与方法
1.1一般资料 选取我院2016年1月～12月实施PDCA循环前后300份病案首页信息资料作为实验组，男性病例190例，女性病例110例，年龄23～45岁，平均年龄(32.41±3.20)岁。同时选取同时期未实施PDCA循环300例病案首页为对照组，其中男性病例120例，女性病例180例，年龄25～50岁，平均年龄(31.61±2.83)岁。两组患者性别、年龄等一般资料相比，差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(郭筱萍)
关键词：PDCA循环;病案首页;信息质量
中图分类号：R197.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.010
, http://www.100md.com
文章编号：1006-1959(2018)05-0027-02
Application and Continuous Improvement of PDCA Circulation in Improving the Information Quality of First Page of Medical Record
GUO Xiao-ping
(Medical Record Room，Pingxiang People's Hospital，Pingxiang 337000，Jiangxi，China)
Abstract：Objective To explore the application value of PDCA circulation in improving the information quality of the first page of the medical record.Methods A total of 300 cases of PDCA cycle improvement were selected，that is，the first-line data of the planning (P)，implementation(D)，check(C)，and action(A)cycles were taken as the experimental group.The 300 patients with PDCA circulation model were the control group.The information defect and writing error rate were compared between the two groups.Results The defect rate of information on the front page of the medical record in the experimental group(3.00%)was lower than that in the control group (22.67%)，the difference was statistically significant(P<0.05)，and the incidence of information error in the front page of the experimental group(1.00%)was significantly lower than that in the control group(28.00%)，the difference was significant(P<0.05). Conclusion The PDCA cycle is helpful to improve the home page information of the medical record.Improving the quality of medical record information plays an active role in the improvement of medical quality.
, 百拇医药
Key words：PDCA cycle;First page of medical record;Information quality
PDCA循环由美国质量管理专家提出的一种按照计划(P)、实施(D)、查核(C)、行动(A)四个阶段进行循环管理的一种方法，广泛应用于医院质量管理并取得了良好的效益[1]。病案首页是病案的窗口，用于评估入院患者疾病情况的载体，其信息质量不仅反映医院医疗决策的水平，还对临床治疗具有重要的指导价值。因此，提高病案首页信息质量，有利于促进医院的长远发展。本文针对病案首页资料的质量问题，运用PDCA循环理论进行质量跟踪，以满足医院及上级主管部门对病案首页的需求。
1资料与方法
1.1一般资料 选取我院2016年1月～12月实施PDCA循环前后300份病案首页信息资料作为实验组，男性病例190例，女性病例110例，年龄23～45岁，平均年龄(32.41±3.20)岁。同时选取同时期未实施PDCA循环300例病案首页为对照组，其中男性病例120例，女性病例180例，年龄25～50岁，平均年龄(31.61±2.83)岁。两组患者性别、年龄等一般资料相比，差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(郭筱萍)