Abstract:Objective To provide suggestions for further optimization of the tracer management system by studying the influence of
system applied in our hospital on the quality of medical record recovery, the borrowing of medical record and the circulation
of medical record. Methods Since August 2016, the tracer management system had been used in our hospital. By comparing
the recovery rate of discharged medical records in 7 working days, the regression rate of borrowing medical records and
the satisfaction degree of medical records service before and after the use, the problems in the circulation of medical record
as well as the inadequacies and disadvantages in the use of the system were summarized, so as to provide a basis for the
development and improvement of new module functions. Results After using the tracer management system of medical record,
the satisfaction of clinical medical staff and patients on various services of medical record was significantly improved, which was
significantly different from that before the use (P<0.01). The average recovery rate of discharge medical records in 6 months after
using the system and 7 working days after using the system was significantly higher than that before using the system, and the
difference was significant (P<0.01). The 3-day rate, 1-week rate and 2-week rate of recovery of the borrowed medical records before
and after the use of the system were significantly different between the two groups (P<0.01). Conclusion The tracer management
system of medical records can significantly improve the recovery quality of discharged medical records, the rate of return
of borrowing medical records and the satisfaction of clinical medical staff and patients with medical records service,
which is expected to be the basic configuration of hospitals. However, it is necessary to develop and improve the module
functions according to the user experience in the use process to ensure the operability of the system and to adapt to the
work requirements to the maximum extent.
何银平. 重庆某三甲医院病案示踪管理系统的应用及改进建议[J]. 中国医疗设备, 2019, 34(6): 106-109.
HE Yinping. Application and Improvement Suggestions of Medical Record Tracer Management System in A
Third-Class A Hospital in Chongqing. China Medical Devices, 2019, 34(6): 106-109.