Canel Cem, Mahar Steve, Rosen Drew, Taylor John
Cameron School of Business, University of North Carolina, Wilmington, North Carolina, USA.
Int J Health Care Qual Assur. 2010;23(1):59-71. doi: 10.1108/09526861011010686.
Healthcare providers need the information contained in patient records to provide high-quality services. To be effective, patient record assembly must be completed in a timely manner. This study aims to analyse the medical records assembly process for a hospital in Southeastern United States having difficulty meeting standard completion times established by the Joint Commission on the Accreditation of Healthcare Organization.
DESIGN/METHODOLOGY/APPROACH: Several quality improvement tools were used to evaluate and improve the assembly process.
As a result of the study, a new procedure was implemented. Consequently, the hospital reduced the time required to assemble medical records, thereby improving efficiency and effectiveness. There are hopes to further improve the process.
RESEARCH LIMITATIONS/IMPLICATIONS: The study provides guidance on how statistical process control techniques can be applied to improve hospital services. The techniques employed can be used to analyze and improve any process. However, results are limited to improving medical record assembly processes at one particular hospital.
ORIGINALITY/VALUE: Past studies considered the application of various statistical process control techniques for improving healthcare quality. The study extends research by employing process improvement efforts to understand and develop medical record assembly in a regional hospital via process flow diagramming and control charts.
医疗服务提供者需要患者病历中的信息来提供高质量服务。为了有效，病历整理必须及时完成。本研究旨在分析美国东南部一家医院的病历整理流程，该医院在达到医疗组织认证联合委员会规定的标准完成时间方面存在困难。
设计/方法/途径：使用了几种质量改进工具来评估和改进整理流程。
作为研究结果，实施了一项新程序。因此，医院缩短了病历整理所需时间，从而提高了效率和效果。有望进一步改进该流程。
研究局限/影响：该研究为如何应用统计过程控制技术来改善医院服务提供了指导。所采用的技术可用于分析和改进任何流程。然而，结果仅限于改善一家特定医院的病历整理流程。
原创性/价值：过去的研究考虑了各种统计过程控制技术在改善医疗质量方面的应用。本研究通过采用流程改进措施，通过流程图绘制和控制图来理解和改进一家地区医院的病历整理，从而扩展了研究。
