Affiliations: [a] Department of Medical Records and Statistics, Taizhou People’s Hospital, Taizhou, China | [b] Department of Quality and Safety Management Office, Taizhou People’s Hospital, Taizhou, China | [c] Department of Burn and Plastic Surgery, Taizhou People’s Hospital, Taizhou, China
Correspondence:
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Corresponding author: Chuan-Jun Chen, Department of Burn and Plastic Surgery, Taizhou People’s Hospital, No. 366 Taihu Road, Pharmaceutical High Tech Zone, Taizhou, Jiangsu 225300, China. E-mail: chencjtph225@21cn.com.
Abstract: BACKGROUND: Whole-process management is a novel approach widely applied in industry and commerce; however, it is not widely used in the management of medical records in hospitals. OBJECTIVE: The purpose of this study is to investigate the application of whole-process control in the administration of a hospital’s medical records department to achieve refined management of medical records. METHODS: Whole-process control is a management measure that begins with process conception and implementation and includes control over all processes. The control group included medical records that were created prior to the implementation of whole-process control, i.e., those created between June 1 and December 31, 2020. The observation group included medical records that were created after the implementation of whole-process control. The behavior of the medical records staff (in terms of medical record collection, sorting, entry, inquiry, and supply) and the final quality of the medical records (the number of grade-A medical records and their front-page quality) were compared between the two groups, and subjective judgments related to staff satisfaction were reviewed. RESULTS: The implementation of whole-process control improved the behavior of the medical records staff. The final quality of the medical records was also improved, as was the job satisfaction of the medical records staff. CONCLUSION: Implementing whole-process control improved the management of medical records and quality of medical records.
Keywords: Medical records, refined management, whole-process control
