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目的提高病案质量监控结果的权威性、可比性、统一性。方法通过MSA技术,利用偏倚性、重复性、再现性、系统一致性、漏判率、误判率等评价病案质量监控系统的优劣,实施针对性改进。结果经改进后,偏倚性、重复性、再现性、漏判率、误判率均得到极大改善,系统一致性比率由23%提高到83%≥80%。结论运用MSA法对病案质量监控系统进行分析,可以迅速有效识别影响病案质量监控结果的关键因素,有针对性的实施改进措施,使病案质量监控更加科学、全面、规范。
Objective To improve the authority, comparability and unity of medical record quality control results. Methods The MSA technique was used to evaluate the advantages and disadvantages of medical record quality monitoring system based on bias, repeatability, reproducibility, system consistency, missed judgment rate and false positive rate. Results improved, the bias, repeatability, reproducibility, missed assessment rate, false positive rate have been greatly improved, the system consistency ratio increased from 23% to 83% ≥ 80%. Conclusion Using MSA to analyze the medical record quality monitoring system can quickly and effectively identify the key factors affecting the medical record quality monitoring results and implement the improvement measures targeted to make the medical record quality control more scientific, comprehensive and standardized.