Research on the quality pre-audit management of the first page of medical records under the back-ground of DRG payment
10.3969/j.issn.1671-332X.2024.06.015
- VernacularTitle:DRG支付背景下病案首页质量预审核管理的研究
- Author:
Xiaohan CHEN
1
;
Chenxue DONG
;
Mengtian ZHANG
;
Xinyue LIAN
;
Minghua ZHANG
Author Information
1. 苏州大学附属第二医院 江苏苏州 215004
- Keywords:
First page of medical records;
Quality control;
DRG;
Pre-audit management
- From:
Modern Hospital
2024;24(6):874-877,984
- CountryChina
- Language:Chinese
-
Abstract:
Objective This paper discusses the role of pre-audit management in the quality management of the first page of medical records,and studies the feasible measures to improve the quality of the first page of medical records and assist DRG payment.Methods This paper analyzes the new measures to improve the quality of the first page of medical records in an A-Class tertiary hospital in Suzhou,and analyzes the quality of 2 644 medical records discharged during 2023.Results In order to effectively respond to the DRG payment reform,an A-Class tertiary hospital in Suzhou innovatively established a pre-audit man-agement mechanism,and improved the quality of the first page of medical records to a certain extent,but there are still problems such as non-standard filling,inconsistent medical record data and untimely completion of medical record documents.Conclusion The hospital should build consensus,attach importance to the quality management;standardize the filling,ensure the accuracy and completeness;communicate and collaborate,improve the soft and hard power of the hospital;improve the assessment,and optimize the incentive mechanism for the management to improve the quality of the first page of medical records and assist DRG payment.
