住院患者医疗收费差错原因分析与对策

目的减少住院患者医疗收费差错,降低费用差错引起的医患纠纷,提高患者满意度。方法通过抽查我院2014年1月~2015年1月的病历资料720份,其中发现收费差错病历162份,并对收费差错发生的原因进行分析。结果通过组织相关人员学习医疗收费标准,加大审核力度和及时指导,制定奖惩制度等管理措施,差错率显著降低,由实施改进方法前的22.5%降至改进后的10.58%。结论针对收费差错实施有效的管理措施,明显降低差错率的发生,提高了病人满意度。

Analysis on the causes of medical charges error in the hospitalized patients and countermeasures

Objective To reduce the hospitalized patients medical charges error ,improve patient's satisfaction ,re‐duce costs and cause medical disputes . Methods Through spot check our hospital from January 2014 to January 2014 medical records of 720 ,which found that charging mistake medical records of 162 ,analyses the reason of charge errors occur .To organize relevant personnel to study medical fee standards ,strengthen the audit and timely guidance to formulate rewards and punishment system ,etc .,in order to reduce charge errors occur . Results Af‐ter the improvement measures sampling in february 2015 to february 2016 discharged medical records of 718 copies for review ,find charge mistake medical records of 76 ,the charging error 106 ,respectively ,wrong charge 34 ,charges on 50 leakage ,charge more 22 .The error rate is 10 .58% ,was reduced by 12% ,from 22 .50% before improvement methodscharging error rate declined obviously . Conclusion Change the old concept of charge ,iIn a timely man‐ner to understand the new project price ,charge the auditor is not regular inspection guidance ,the implementation of the system of rewards and punishments ,can reduce charging errors occur .