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首页> 外文期刊>Journal of Hospital Administration >Establishing a tracking system in human resources department to improve the completeness of personnel files at a district hospital in Rwanda
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Establishing a tracking system in human resources department to improve the completeness of personnel files at a district hospital in Rwanda

机译：在人力资源部门建立跟踪系统，以提高卢旺达地区医院人事档案的完整性

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Introduction: For decades, many low and mid income countries (LMIC) have invested significant effort to improve access to and quality of health care, with less attention paid to the non-clinical, administrative hospital management. Accordingly, a practical personnel filing system was designed and implemented to improve file management efficiency.Methods: Setting: The quality improvement project took place in a rural hospital in Rwanda. Design: A pre- and post-intervention study design to assess the effect of the intervention between January 2015 and February 2016. File auditing and time study were conducted. Intervention: A custom-made computer database to manage documents in a personnel file, standardized follow up process and policy were created and implemented. Measures: The pre- and post-intervention completeness of all personnel file and the average time to identify the missing items in a personnel file were measured to evaluate the effect of the project.Results: The completion rate of personnel files increased from 83% pre-intervention to 96% post-intervention. The average time to identify missing items significantly reduced from 6 minutes 30 seconds pre-intervention to 49.6 seconds (p .001).Conclusions: This project demonstrates that quality improvement principles can help address administrative issues in a resource-challenged setting. By utilizing available resources to implement an intervention that focused on creating an easy and efficient process, the personnel file completion rate has increased considerably and the time needed to identify missing items significantly decreased. The hospital should apply the same strategic problem solving methodology to conduct other quality improvement projects.
机译：简介：几十年来，许多低收入和中等收入国家（LMIC）投入了巨大的努力来改善医疗服务的获取和质量，而对非临床行政医院的管理却很少关注。因此，设计并实施了一个实用的人事档案系统，以提高档案管理效率。方法：设置：质量改进项目在卢旺达的一家乡村医院进行。设计：干预前后的研究设计，以评估干预措施在2015年1月至2016年2月之间的效果。进行了文件审核和时间研究。干预措施：创建并实施了一个定制的计算机数据库，用于管理人员档案中的文档，标准化的后续流程和策略。措施：对所有人事档案进行干预之前和之后的完整性以及确定人事档案中缺失项目的平均时间进行了评估，以评估项目的效果。结果：人事档案的完成率从之前的83％提高了-干预后达到96％。识别缺失项目的平均时间从干预前的6分钟30秒显着减少到49.6秒（p <.001）。结论：该项目表明，质量改进原则可以帮助解决资源紧张的环境中的管理问题。通过利用可用资源来实施以创建简单有效的流程为重点的干预措施，人员档案的完成率已大大提高，并且识别丢失项目所需的时间大大减少。医院应采用相同的战略性问题解决方法进行其他质量改进项目。

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