Application of quality control circle in occupational disease diagnosis and coding quality management improvement
10.3969/j.issn.1671-332X.2023.12.014
- VernacularTitle:品管圈在职业病诊断与编码质量管理改进中的应用
- Author:
Hankun YANG
1
;
Chunyue FAN
;
Yuli ZENG
;
Yanyan WANG
;
Ying ZHANG
;
Qifeng LI
Author Information
1. 广东省职业病防治院 广东广州 510300
- Keywords:
Quality control circle;
Occupational disease;
Main diagnostic;
Code;
Quality control
- From:
Modern Hospital
2023;23(12):1856-1860
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of quality control circle in the quality management improvement of the occupational disease diagnostic and code.Methods To established across departmental team of medical record QCC,we Select 132 cases of the occupational disease departmentin specialized Hospital from May 1,2022 to June31,2022,Analyze the reasons of inaccurate that main diagnosisselection and code mapping.After formulating a series of improvement measures,we Se-lect 71 cases of occupational disease department from November 1,2022 to December 31,2022.To compared effect that before and after the implementation of QCC.Results After6 months of improvement,The utilization rate of main diagnosis mapping Z-code was decreased from 36.3%to 12.7%,goal achievement rate of 106.3%,improvement rate of 65.0%.Enrollment rate of major diagnostic was increased from 53.0%to 86.3%,goal achievement rate of 116.4%,Improvement rate of 62.8%.Conclu-sion We have changed the quality control management mode of diagnosis and coding by the QCC,implement targeted feedback,supervision,and training,establish a reward and punishment mechanism that matches indicators to improved accuracy of enroll-ment.Upgrading the quality management level of medical records and medical safety at the same time.Should continue to pro-mote theimplementation.
