基于反馈闭环控制理论的临床路径PDCA持续改进体系研究  

Research on the Clinical Pathway PDCA Continuous Improvement System Based on the Theory of Feedback Closed-loop Control System

作　　者：叶荔姗[1] 李湧[2] 庄伟芬[3] 严武[2] 李宏伟[2] 徐航[2] 

机构地区：[1]厦门大学附属中山医院信息中心,福建厦门361004 [2]厦门大学附属中山医院,福建厦门361004 [3]厦门大学管理学院,福建厦门361005

出　　处：《中国数字医学》2017年第5期20-23,共4页China Digital Medicine

基　　金：国家自然科学基金面上项目-大数据驱动的抗菌药物使用与管理决策优化研究(编号:71672160)~~

摘　　要：运用控制论方法,将控制理论领域反馈的闭环控制法、管理学的PDCA循环等方法运用于信息系统的整合建设,建立电子病历—电子医嘱—临床路径—医院管理信息系统的"全闭环"临床路径执行和反馈体系,建立了疾病诊疗规范制定、临床操作服务、过程质量监管三位一体的医疗服务安全质量监测与持续改进闭环体系,临床路径信息管理平台对加强医疗服务安全动态监管,促进科学化、精细化、专业化管理,改善服务水平,提高效率具有不可或缺的重要作用。With the method of control theory, the feedback closed loop control method in the field of control theory, PDCA circulation of management and other methods are applied to the integrative construction of information system. The ＂closed loop＂ clinical pathway implementation and feedback system of electronic medical records-electronic medical advice-clinical pathway- hospital management information system is established. The medical service safety quality monitoring and continuous improvement closed-loop system integrating disease diagnosis and treatment specification formulation, clinical operation service and process quality supervision is set up. The clinical path information management platform has an indispensable important role on strengthening the dynamic supervision of medical service security, promoting scientific, refined and professional management, and improving the service level and eficiency.

关 键 词：临床路径 控制论 闭环 反馈 PDCA 神经网络 

分 类 号：R319[医药卫生—基础医学]