Casper E S
Harlem Valley Psychiatric Center, Mount Kisco, New York 10549.
Hosp Community Psychiatry. 1987 Nov;38(11):1191-4. doi: 10.1176/ps.38.11.1191.
A management system designed to maximize staff's compliance with standards for medical records in the periods between external audits was developed for an outpatient network of a large state hospital. The system was based on analysis of the processes and circumstances that enhance compliance with records standards, such as specifying a clear, concrete goal for each chart and having a time-limited review process, and the major inhibitors, such as too-frequent and random audits and lack of internal or external rewards. Data collected on application of the system to 976 charts in the outpatient network showed the system to be effective; between the initial review and the rereview in the third month, the percent of records achieving more than 80 percent compliance with standards rose from 57 percent to 86 percent.
为一家大型州立医院的门诊网络开发了一个管理系统，旨在使员工在外部审计间隔期间最大程度地遵守病历标准。该系统基于对促进遵守记录标准的流程和情况的分析，例如为每张图表指定明确、具体的目标以及进行限时审查过程，以及主要的阻碍因素，如过于频繁和随机的审计以及缺乏内部或外部奖励。收集到的关于该系统应用于门诊网络中976份病历的数据表明该系统是有效的；在首次审查和第三个月的重新审查之间，符合标准程度超过80%的病历百分比从57%上升到了86%。
