层次分析法对提升耳鼻喉住院患者病案管理效率与准确性的研究OA
Research on Analytic Hierarchy Process in Improving the Efficiency and Accuracy of Medical Record Management for Inpatients in Otolaryngology Department
目的 研究层次分析法对提升耳鼻喉住院患者病案管理效率与准确性的影响.方法 将 2023 年 8 月 1 日-2024 年 1 月31 日某三甲医院耳鼻喉住院患者 312 份病案予以层次分析法管理,并定义为研究组,另将 2023 年 2 月 1 日-7 月 31 日的 310份未进行层次分析法管理的病案作为对照组,对比两组病案管理效率、准确率、修改率、质量评分、缺陷情况及等级.结果 研究组病案收集时间、归档时间均短于对照组,72 h不归档占比低于对照组(P＜0.05);研究组病案归档准确率高于对照组,修改率低于对照组(P＜0.05);研究组病案首页、病程记录、辅助检查评分均高于对照组(P＜0.05);研究组主诊断不准确、其他诊断不准确或漏填、主诊断与主手术操作不对应、手术填写不准确、手术漏填、操作填写不准确、操作漏填占比均低于对照组(P＜0.05);研究组病案甲级占比高于对照组,乙级占比低于对照组(P＜0.05).结论 层次分析法可提升耳鼻喉住院患者病案管理效率,缩短病案收集与归档时间,提高病案管理质量,降低病案缺陷发生率,促进病案整体等级提高,具有良好的管理效果.
Objective To study the effect of analytic hierarchy process on improving the efficiency and accuracy of medical record management for inpatients in Otolaryngology Department.Methods From August 1,2023 to January 31,2024,312 medical records of Otolaryngology Department inpatients in a tertiary hospital were managed by analytic hierarchy process and defined as the study group.In addition,310 medical records not managed by analytic hierarchy process from February 1 to July 31,2023 were used as the control group.The efficiency,accuracy,modification rate,quality score,defects and grades of medical records management were compared between the two groups.Results The collection time and archiving time of medical records in the study group were shorter than those in the control group,and the proportion of non-archiving in 72 h was lower than that in the control group(P<0.05).The accuracy of medical record filing in the study group was higher than that in the control group,and the modification rate was lower than that in the control group(P<0.05).The scores of medical record home page,course record and auxiliary examination in the study group were higher than those in the control group(P<0.05).The proportions of inaccurate main diagnosis,inaccurate or missing other diagnosis,mismatch between main diagnosis and main operation,inaccurate operation filling,missing operation filling,inaccurate recording of the medical intervention and missing procedural information in the study group were lower than those in the control group(P<0.05).The proportion of grade A in the study group was higher than that in the control group,and the proportion of grade B was lower than that in the control group(P<0.05).Conclusion The analytic hierarchy process can improve the efficiency of medical record management of Otolaryngology Department inpatients,shorten the time of medical record collection and archiving,improve the quality of medical record management,reduce the incidence of medical record defects,promote the improvement of the overall level of medical records,and have good management effect.
李燕伶
宜春市人民医院病案管理科,江西 宜春 336000
医药卫生
层次分析法耳鼻喉住院患者病案管理效率准确性
Analytic hierarchy processInpatient in Otolaryngology DepartmentMedical record management efficiencyAccuracy
《医学信息》 2026 (1)
71-74,4
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