外科10个病种应用临床路径对术前平均住院日的效果评价  

Evaluation about the Effect of Clinical Pathways on the Preoperative Length of Stay of Ten Diseases

作　　者：邓应梅[1] 黄昊[1] 肖蓓[1] 骆颖[1] 江洋[1] 刘春玲[1] 

机构地区：[1]首都医科大学宣武医院,北京市100053

出　　处：《中国病案》2014年第12期21-21,M0002,共2页Chinese Medical Record

摘　　要：目的分析实施临床路径对术前平均住院日的影响,探讨缩短平均住院日的可行措施。方法将2010年3月-2013年12月的10个病种的出院病人作为路径组,将2006年5月-2010年2月10个病种的出院病人作为对照组,比较两组术前平均住院日是否不同,采用spss20.0统计软件进行数据处理。临床路径组与对照组采用秩和检验作对比分析。结果临床路径组外科10个病种术前住院日有7个病种明显缩短(P<0.05);有3个病种因为自身特点下降不明显。结论实施临床路径后术前住院日可以缩短,可进一步缩短平均住院日。Objective To investigate the impact of the implementation of clinical pathways for preoperative average length of stay.Methods Two groups of preoperative average hospital stays were compared, one as clinical pathway group whose patients of ten diseases were from March 2010 to December 2013, the other as control group whose patients of ten diseases were from May 2006 to February 2010, using spss20.0 statistical software for data processing. Analysis of the clinical pathway group and the control group used rank sum test for comparison. Results The decrease of preoperative average length of stay in clinical pathway group of seven diseases was statistically significant（p〈0.05）, of three was not. Conclusion The implementation of clinical pathways can shorten preoperative average length of stay, and then shorten the average length of stay.

关 键 词：临床路径 术前住院日 病种 效果评价 

分 类 号：R197.3[医药卫生—卫生事业管理]