基于信息化和临床护理路径指导下的手术室单病种限价监管  

Expenses control in a single disease based on information technology and clinical nursing pathway in operating room

作　　者：罗忠梅[1,2] 雷菊红[1,2] 曹阳慧[1,2] 张湘云[1,2] 周淑云[1,2] 

机构地区：[1]长江大学附属第一医院 [2]荆州市第一人民医院手术室,湖北荆州434000

出　　处：《护理学杂志》2013年第18期6-8,共3页

摘　　要：目的探讨信息化和临床护理路径指导下的手术室单病种护理质量和费用控制的方法和效果。方法对行阑尾切除的48例单纯性阑尾炎患者(观察组)采取信息化管理,制定并实施单病种限价手术护理路径,对护理耗材进行标准化管理,对手术室单病种限价的质量和费用进行监管。并与实施常规单病种限价管理的45例阑尾切除术患者(对照组)进行效果比较。结果观察组手术护理配合考核评分、医生满意度显著高于对照组,手术护理耗材费用显著低于对照组(均P<0.01)。结论重点控制护理耗材成本,制定并实施单病种限价手术护理路径,可提高单病种限价管理的工作效果,保证手术室护理"降价不降质"。Objective To explore strategies and effects of information technology and clinical nursing pathway on nursing quality and expenses control in a single disease in operating room. Methods Forty-eight patients with simple appendicitis undergoing appendec- tomy received information technology-based management （the observation group）： formulating and implementing clinical nursing pathway which was aimed to control medical expenses in a single disease, standardizing management of nursing supplies, and su- pervising quality and costs of these activities. Effects were compared with 45 cases receiving traditional management for medical ex- penses control （the control group）. Results The examination score of nurses＇intraoperative collaboration and doctorsr satisfaction were significantly higher in the observation group than the control group, and costs of nursing supplies were significantly lower in the observation group （P^O. O1 for all）. Conclusion Focusing on controlling costs of nursing supplies, and implementing clinical nursing pathway for single disease payment control, can control single disease payment and ensure nursing quality in operating room.

关 键 词：单纯性阑尾炎 单病种限价 信息系统 临床路径 耗材 

分 类 号：R472.3[医药卫生—护理学] G203[医药卫生—临床医学]