重要报告填写完整性对病案文件延迟归还的影响

M. Ibrahim
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引用次数: 0

摘要

目的:本研究的目的是分析几种表格的重要报告填写完整性对医院住院病案档案延迟归还发生的影响。方法:本研究采用定量分析横断面设计。研究对象约为643人,总共有161个住院病历文件作为样本。定额抽样的抽样技术。主要资料收集方法为使用检查表进行观察,数据分析采用SPSS 24进行单因素分析,采用频率分布,双因素采用卡方检验,多因素采用logistic回归,采用正向LR方法。结果:所研究的所有表格中重要报告的填写完成率均未达到100%,患者病历文件的返回率仍然很高,其返回率为55.9%,已证实影响病历文件返回延迟发生的因素是表格初始护理评估不完整(p=0.034, OR=9.438)、患者教育表格填写不完整(p=0.039, OR=3.078)。结论:初步护理评估表填写不完整和患者教育表填写不完整是影响病历文件延迟归还发生的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Completeness of Filling Out Important Reports on Delay in Return of Medical Record Files
Objective: The purpose of this study was to analyze the effect of the completeness of filling out important reports on several forms on the occurrence of delays in returning inpatient medical record files at the hospital. Methods: This type of research is quantitative analytic cross-sectional design. The population numbered around 643 with a total sample of 161 inpatient medical record files. Sampling technique with quota sampling. The primary data collection method was observation using a checklist sheet and data analysis using SPSS 24 for univariate analysis with frequency distribution, bivariate using the chi-square test and multivariate using logistic regression using the forward LR method. Results: The completeness of filling in important reporting on all forms studied has not reached 100% and the return of patient medical record files is still a lot of medical record files whose returns are late by 55.9% and the factors that have been proven to be factors that influence the occurrence of delays in returning medical record files are forms incomplete initial nursing assessment (p=0.034 and OR=9.438), incomplete filling of patient education forms (p=0.039 and OR=3.078). Conclusion: Factors that are proven to have an effect on the occurrence of delays in returning medical record files are incomplete filling of initial nursing assessment forms and incomplete patient education forms.
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