临床路径标准制订方法和实践.pdfVIP

拜耳医药保健有限公司 栏目独家协办 SPECIAL PLANNING 特别策划 临床路径标准制订方法与实践 ① ① ① ① ■ 董 军 刘亚平 周亚春 王 欣 【关键词】 临床路径 制订方法 【摘 要】 目的：制订科学、合理、实用的临床路径标准。方法：病例组合法、病案回顾调查法、统计学分析、循证医学法以及持续 质量改进。结果：（1）系统地阐述临床路径标准制订主要方法。包括：组织架构、理念与方法、前期准备和制订步骤。（2）以案例 方式，详细介绍临床路径病种选择、诊疗项目和费用标准制定的过程与结果。结论：临床路径标准制订必须充分发挥专家团队作用， 采用PDCA循环过程，应用循证医学的最新成果，使得临床路径标准更加合理有效。 Methods and practice on clinical pathway standard design / DONG Jun, LIU Yaping, ZHOU Yachun, et al // Chinese Hospitals.-2009,13(6):11-15 【Key words】 clinical pathway, standard, practice 【Abstract】 Objectives: To design scientific, rational and operable clinical pathway standard. Methods: Case mix, case retrospective survey, statistics analysis, evident based medicine and continuance quality improvement methods were used. Results: Firstly, the methods of designing clinical pathway as well as organization structure, idea and methods, preparation and steps were detailed and systematically mentioned. Secondly, case analysis was used to describe the process and results of clinical pathway disease selection, treatment project and cost standard. Conclusions: experts team were considered to be fully used, PDCA process and the newly conclusions of evidence banes medicine be referred to make clinical pathway standards more effective and rational. Author’s address：Teda International Cardiovascular Hospital, No.61, Disan Street, Economic and technology Development District, Tianjin, 300457, PRC 1 临床路径标准制订方法概要 心）——医院级（各委员会）。由临床 很重要。因此，要建立医院信息系统和 科室为单位，在主任领导下，指定专人 病种数据库，运用各种统计方法和工具 1.1 临床路径标准制订组织构架 负责，由高、中级职称医师和护理人员 进行病案回顾性调查分析。 1.1.1 成立临床路经专家团队。临床路径