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題名 | 以品管圈手法改善門診病歷遞送時效=Improving Medical Record Delivery with Quality Control Cycle Method |
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作 者 | 何尹琳; 許晉銘; | 書刊名 | 病歷管理期刊 |
卷期 | 5:2 民95.04 |
頁次 | 頁44-52 |
分類號 | 419.26 |
關鍵詞 | 病歷管理; 品管圈; 病歷遞送時效; Medical record management ; Quality control cycle; Medical record delivery; |
語文 | 中文(Chinese) |
中文摘要 | 為改善門診病歷無法及時送達的問題,減少病歷組及護理人員因為稽催及找尋病歷所造成之人力浪費,加強病歷管理,並響應醫院推行行政品管活動,本院於民國89年成立「病歷快遞圈」,持續一年半之病歷管理改善措施。 經分析門診病歷延遲或無法送達的主要原因,可分為系統性、人員操作、設備及空間設置問題,其中以系統性及人員操作問題影響最大。為改善此問題先後採取四項重要因應策略,分別為:一、縮短調檔間隔時間;二、縮短出院病歷歸還期限;三、設立病歷閱覽室;四、清查歸錯病歷,並建立稽核機制。 改善執行後,病歷平均出庫時間為25.9分,出庫時間小於30分者佔74%,平均每日電話稽催率自1.8%降至1%,病歷延遲送達的比率下降5%。被稽催的病歷中,屬出院病歷未歸回之比率略降3%,每月病歷逾期歸還總天數由1100多天降為600多天。病歷閱覽室已設置完成,但期輔以病歷管理制度之修訂而更加善用。另盤查找出219本歸錯病歷,統計病歷歸錯率約0.32%。結果顯示,以品管圈的手法確實能有效改善門診病歷的遞送時效。 |
英文摘要 | In order to improving the delayed or missed problems of medical records delivery, the team of quality control cycle was set up in 2000. Besides, it had performed with duration of one and half years to enhance the management of medical records adn decrease the manpower in searching. There are four major causal factors in delayed delivery of outpatient medical records, which are the systemic, operating, equipment and space problems. However, the predominant factors are systemic and operating ones. We adopted four strategies in order to improve above problems. These were shortening batch time interval in transfer, shortening return deadline, setting up reading room, and checking misplaced records thoroughly. After a period of hard working, we found that the average delivery time was 25.9 minutes. The 74% records can be sent out within 30 minutes. The average of phone call for records decreased from 1.8% to 1% per day. The delivery delay rate decreased 5 percentile. The overall delayed return in days decreased from 1,100 days to 600 days per month. There were 219 records found misplaced. The misplaced rate was 0.32% estimated. The outcome showed that it was efficient in improving medical record delivery with quality control method. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。