临床路径变异调查与分析  

Investigative and Analysis on the Variation of Clinical Pathway

作　　者：李京淑[1] 房迎华[1] 张睿[1] 

机构地区：[1]佳木斯大学附属第二医院,佳木斯市154002

出　　处：《中国病案》2013年第1期45-46,共2页Chinese Medical Record

摘　　要：目的分析临床路径变异,以提高临床路径的管理水平。方法以大隐静脉曲张高位结扎剥脱术为例,按照疾病转归、医护、患者、医院和退出路径5方面的因素对临床路径变异进行回顾性调查和统计分析。结果主要的变异因素中患者方面的占36.46%,主要是患者提前出院;医护方面的占31.31%,主要是提前安排手术。结论临床路径变异主要是人的因素,加强变异管理,才能更好的实施临床路径。Objective Analyzing the variation of clinical pathways to improve management level of clinical pathways. Methods The retrospective in- vestigation and statistical analysis were made towards clinical pathways variation according to 5 aspects of the disease prognosis, medical care, patients, hospitals and exit path. Results The main variation factors were patients and health care, the variation of patients accounted for 36.46%, mainly due to patients discharged early. The variation of medical aspects accounted for 31.31%, mainly for arrange to operate in advance. Conclusion The main factor of clinical pathways variation is human. We only enhance the management of variation, can we better implement clinical pathways.

关 键 词：大隐静脉曲张高位结扎剥脱术 临床路径 变异 分析 

分 类 号：R47[医药卫生—护理学]