基于PDCA循环的临床路径变异管理系统研究

Clinical pathways variation management system based on PDCA cycle

变异管理是临床路径管理中的重要环节,有效的变异管理是医院不断完善临床路径计划、改善医疗服务流程、加强自身管理和提高循证医学实践的重要保证。通过描述变异管理系统的构成要素:变异的识别、收集/记录、分析、报告与利用,并将PDCA循环理论引入,阐述了系统运作的方式,提供了可操作的原则、方法、模式来指导医院进行变异管理的实践。

Variation management is an important link of clinical pathways management. Ef ective variation management is also an important guarantee of improving clinical path planning, improving the process of medical service, strengthening hospital management and evidence-based medical practice. Combined with PDCA cycle theory, this paper describes the components of variation management system which includes identification, collection, analysis, reporting and application, explains the way the system works and provides some operational principles and methods guide the practice of variation management.