使用精细化管理模式进行医院病案管理的效果分析

1、    使用精细化管理模式进行医院病案管理的效果分析    郑金玉宋慧芝于红伟摘要 目的 探究醫院病案管理现状以及存在的问题，应用精细化管理模式改善病案管理效果。方法 以2016年1月2017年8月内该院病案管理科收集的800例病案作为对照组，实施常规病案管理，以2017年10月2019年4月内病案管理科收集的800例病案为改进组，应用精细化管理模式，前后管理科成员一致。将病案管理质量评分以及因病案引发的医患纠纷，还有患者满意度、人员专业能力为指标，确定精细化管理模式的应用成效。结果 改进组的病案质量合格率显著优于对照组，两组之间的病案资料缺失率差异有统

2、计学意义（p<0.05）。精细化管理模式应用后，改进组病案管理人员的专业技能考核评分以及患者满意度显著优化，组间数据差异有统计学意义（p<0.05）。改进组关于病案管理的医患纠纷发生率显著低于对照组，差异有统计学意义（p关键词 精细化管理模式;医院病案管理;管理质量 r19 a 1672-5654（2020）02（c）-0008-03abstract objective to explore the current situation and existing problems of hospital medical record management， and to apply

3、refined management mode to improve the medical record management effect. methods 800 cases collected from the medical records management department of our hospital from january 2016 to august 2017 were used as a control group to implement routine medical records management. 800 cases collected from

4、the medical records management department from october 2017 to april 2019 of the medical record as an improvement group， and a refined management model was applied， with the members of the management department being the same. use the quality management scores of medical records and medical-patient

5、disputes caused by medical records， as well as patient satisfaction and staff professional capabilities as indicators to determine the effectiveness of the refined management model. results the qualified rate of medical records in the improved group was significantly better than that in the control group， and the missing rate of m