摘要
目的:评价实施临床路径的益处。方法:采用对比方法,比较我院消化科6个病种(肠息肉、胆总管结石、急性轻症胰腺炎、消化性溃疡、反流性食管炎、肝硬化腹水)实施临床路径的效果。结果:经实施临床路径后,我院消化科虽多收治了6.3%的急危重症患者,但整体效果明显,平均住院时间缩短了0.76d,其中肠息肉和胆总管结石平均住院时间显著缩短,分别缩短了0.75d和0.86d,术前平均住院时间分别缩短0.34d和0.84d。但也出现了住院费用部分增加的情况,如肠息肉总费用增加361.93元,胆总管结石增加1496.25元,可能与我院根据卫生部路径表增加了检查项目和规范诊疗行为有关。结论:实施临床路径可缩短患者的住院时间、规范医师的诊疗行为、提高临床科室医疗质量和医疗安全水平。
OBJECTIVE:To evaluate the benefits of the implementation of clinical pathways.METHODS:By comparison method,the implementation effects of clinical pathway about 6 pilot diseases in gastroenterology department of our hospital(intestinal polyps,common bile duct stones,mild acute pancreatitis,peptic ulcer,reflux esophagitis,liver cirrhosis)were compared.RESULTS:After the implementation of clinical pathways,6.3% of severity patients were admitted in our hospital,but the overall implementation effect was obvious.Average hospitalization days of gastroenterology department reduced by 0.76 days in the six pilot diseases,among which the average hospitalization days of intestinal polyps and the common bile duct stones were significantly shortened,respectively(reduced by 0.75 days and 0.86 days);preoperative days reduced by 0.34 days and 0.84 days respectively;but the total cost of some cases increased,for example,the cost of intestinal polyps increased by 361.93 yuan and that of common bile duct stones increased by 1 496.25 yuan.Those may be related to the inspection projects addition and standardize treatment behavior according to clinic pathway tablet of Ministry of Health.CONCLUSION:The implementation of clinical pathways can reduce average hospitalization days,standardize treatment behavior and improve the clinical quality and medical safety level.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第38期3563-3566,共4页
China Pharmacy
关键词
临床路径
实施
分析
效果
体会
Clinical pathway
Implementation
Analysis
Effect
Experience