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Abstract
Objective. To improve the archiving rate of discharge medical records of clinical departments by continuously improving the method of archiving the medical records of discharged patients. Method. The archiving rate of medical records was calculated and those medical records for which archiving was delayed, were analyzed statistically, to propose improvement measures according to the archiving time and discharge time on the medical records of discharged patients in various departments, which were counted by a medical record entry system during April 2012 and September 2012 as well as April 2013 and September 2013. Result. For 4,714 discharge medical records from April to September in 2012, the two-day archiving rate was 81.5%, and the seven-day archiving rate was 95.7%; however, after the improvement measures were taken, there were 5,557 discharge medical records in the whole hospital from April to September in 2013, the two-day archiving rate was 97.6%, and the seven-day archiving rate reached 99.9%. Conclusion. Effective measures for improving the two-day archiving rate were to increase the attention of hospital leadership on the medical record management, to improve the medical record management and the reward and punishment mechanism, and to strengthen the work communication between the medical record department and other departments.