减少住院病人医疗收费差错的护理管理.pdfVIP

2008年7月 护理管理杂志 Jul，2008 ·40· 第8卷7期 Journalof Administration V01．8No．7 Nursing ·经济管理· 减少住院病人医疗收费差错的护理管理 刘凤娇 1 (湘潭市中心医院医疗收费管理科，湖南 湘潭41100) 摘要：目的减少医疗收费差错，提高住院病人满意度。方法针对发生的收费差错，采取人员培训、追踪检查结果、加强医嘱核对和费用审 核、实施一日清单、公示收费标准等措施，并比较实施前后收费差错的情况。结果 实施前收费差错率为71．67％，实施后为23．54％，实施前 后比较差异具有统计学意义。实施后病人对收费满意度提高。结论针对收费差错原因，实施各种改进措施，可以减少医疗收费差错。 关键词：医疗收费；差错；管理 中图分类号：C931．2文献标识码：B 文章编号：1671—315X(2008)07—0040—02 of mistake／LIU of Nursingmanagementreducinginpatients’medicalcharge Feng—jiao／／JournalNursing Toreducemedical Aimedthemistakesinmedical follow- Abstract：0bjective chargemistake，andimproveinpatients’satisfaction．Method charge，the test of measureswerecarriedout，suchas checkdoctors’ordersandmedical ing providingpersonneltraining，tracingresults，strengthening charge。practicing listofmedicaland medical tothe mistakesofmedical were beforeandafterthe one—day chargeexplicitingcharge patients．Then，the charge compared prac— tice．Results rate0f was from Themistake medical decreased71．67％to23．54％。themistakesofmedicalrecorddecreased．andthe chargesignificantly w∞increasedafterthe measuresaimedatthemistakesofmedical canre— patients’satisfaction practice．ConclusionTakingmultipleimprovement charge ducethemistakemedical of charge． Author’s ofMedical Central address：DepartmentChargeAdministration，XiangtanHospital，Xiangtan411100。China Keywords：medical charge；mistake；mana