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KMID : 1031020200260010023
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Quality Improvement in Health Care
2020 Volume.26 No. 1 p.23 ~ p.34
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Perceptions of Hospital Health Information Managers Regarding Present on Admission Indicators in Korea: A Qualitative Study
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Pyo Jee-Hee
Choi Eun-Young
Oh Hae-Mi
Lee Won
Kim Ju-Young
Ock Min-Su
Kim So-Yoon
Lee Sang-Il
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Abstract
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Purpose: This qualitative study was conducted to examine the current status and problems concerning the collection of present on admission (POA) indicators and determine how to use these indicators for evaluating the quality of care and degree of patient safety.
Methods: A total of 11 health information managers were divided into two groups according to the size of their hospitals. Two focus group discussions (FGDs) were conducted, one for each group, which followed a pre-developed semi-structured guideline. The verbatim transcriptions of the FGDs were analyzed.
Results: The majority of participants were concerned about entering POA flags honestly because they did not know how future POA indicators would be used. In particular, for some participants, POA N was a burden that could imply a signal of mismanagement within the medical institution. In addition, the lack of awareness and indifference of physicians regarding POA indicators were some of the difficulties for POA flag entry. Although medical institutions are making efforts to improve the accuracy of POA flagging, many participants mentioned the need to develop real case-oriented POA entry guidelines to improve the accuracy of POA flagging.
Conclusion: To increase the validity of POA indicators, it is necessary to increase the level of awareness of POA indicators in physicians and other medical professionals. Furthermore, efforts related to POA indicators by individual medical institutions need to be reflected in the process evaluation.
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KEYWORD
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Present on admission , Focus groups , Qualitative research , Diagnosis-related groups
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FullTexts / Linksout information
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Listed journal information
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