ArticleRisk management and healthcare policy2026
Enhancing Medical Record Quality in Psychiatric Care Through PDCA Cycle Management.
Article in Risk management and healthcare policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the effect of Plan-Do-Check-Act (PDCA) cycle management on psychiatric medical record quality. Methods: This pre-post intervention study implemented PDCA from February 2023. A time-series analysis compared monthly Class A record rates (≥90% on a standardized checklist) across 12 months post-implementation (Feb 2023-Jan 2024). Using stratified random sampling by department, 150 records per group were selected: pre-intervention control (before 2023), observation group 1 (Feb 2023-Jan 2024, comprehensive review), and observation group 2 (Jan-Dec 2025, spot-check review). Fourteen ward physicians rated satisfaction pre- and post-intervention. Possible confounders (department, time) were addressed via stratified sampling and time-series segmentation. Statistical analyses included ANOVA with effect sizes (η Results: After implementation of the PDCA cycle, the monthly Class A record rate remained above 90% (range: 94.49-98.48%). Statistically significant between‑month differences were observed at several time points (eg, April and September 2023, both p<0.01). One‑way ANOVA indicated a statistically significant difference among the three groups (F=57.59, Conclusion: In this single‑center pre‑post study, implementation of the PDCA cycle was associated with improvements in medical record quality and physician satisfaction. Further research is needed to confirm these findings in other settings.
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