Application of DRGs in hospital medical record management and its impact on service quality

BACKGROUND: To explore the application of diagnosis-related groups (DRGs) in hospital medical record management and the impact on service quality. OBJECTIVE: This study introduced DGRs management into hospital medical record management in order to improve the quality of hospital medical record management. METHOD: The medical record management of our hospital was analysed retrospectively between August 2020 and April 2021. A total of 7263 cases without DRG management before January 2021 were included in a control group, and 7922 cases with DRG management after January 2021 were included in a study group. The error rate of medical records, the specific error items and the scores of service capability, service efficiency and service quality were compared along with the comprehensive scores of the two groups. RESULTS: The error rate of medical records in the study group was significantly lower than that in the control group (19.35% vs. 31.24%, P < 0.05). The error rates in terms of diagnosis on admission, surgical procedures, main diagnosis and other diagnoses in the study group were significantly lower than those in the control group. The scores for service ability, service efficiency and service quality were significantly higher in the study group than in the control group (P < 0.05). The comprehensive evaluation score of the study group was significantly higher than that of the control group (P < 0.01). CONCLUSION: Applying DRGs in the hospital medical record management can effectively reduce the error rate of medical records and improve the quality of hospital services.