PDCA对成人腹股沟疝临床路径评价体系的影响

The Effect of PDCA on the Evaluation System of the Clinical Pathwa of Adult Inguinal Hernia

目的探讨PDCA对成人腹股沟疝临床路径评价体系的影响。方法将某院2015年10月—2017年3月成人腹股沟疝临床路径患者按PDCA循环管理模式分为实施前、实施中及实施后三组,通过对实施前后临床路径入径率、入径完成率、变异率、平均住院日及平均住院费用等质量评价指标对比分析,总结PDCA循环管理模式对临床路径质量评价体系的影响。结果应用PDCA循环对成人腹股沟疝临床路径进行管理,能明显提高临床路径入径率及入径完成率、减少变异率,且能明显缩短患者平均住院日、降低平均住院费用、降低药物费用及降低抗生素的使用率。结论对成人腹股沟疝临床路径实施PDCA循环的持续质量改进管理,有助于进一步优化临床路径的内涵,使医疗资源得到更加合理的分配,促进临床路径在医疗机构中的稳步推进。

Objective To explore the effect of PDCA on quality evaluation system of adult inguinal hernia clinical pathway.Methods According to the PDCA cycle management,the adult inguinal patients from October 2015 to March 2017 which managed in clinical pathway were divided into three groups,the group before implementation,the group in implementation and the group after implementation of the PDCA management.The participant rate of the clinic pathway,the completion rate of clinic pathway,the variation of the clinic pathway,average of the hospitalization and average of the hospitalization expenses before and after PDCA cycle management were compared and analyzed,and the influence of PDCA cycle management on clinical path quality evaluation system was summarized.Results The application of PDCA cycle management of adult inguinal hernia clinical pathway significantly increased the participant rate and completion rate of clinic pathway,reduced the variation rate,reduced average of the hospitalization and average of the hospitalization expenses,especial the use of antibiotic.Conclusion The implementation of PDCA cycle for management of adult inguinal hernia clinical pathway will helps to further optimize the connotation of clinical pathway,make medical resources more rational distribution,and promote the steady progress of clinical pathway in medical institutions.