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PDCA循环在医院临床路径管理中的应用效果评价

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目的 探讨在医院临床路径管理中实施PDCA循环的应用效果。方法 回顾性分析宁德师范学院附属宁德市医院2019 年 1-12 月临床路径管理的数据指标和 2020 年 1 月—2022 年 12 月实施PDCA循环持续改进过程中临床路径管理数据指标,分析实施前后临床路径的入径率、完成率、变异率、平均住院费用及平均住院日数,以评估实施前后的效果。结果 PDCA循环管理实施后,持续改进临床管理路径,增加了一定幅度的入径率和完成率,变异率下降,规范诊疗流程,患者平均住院日数缩短,平均住院费用减少。结论 在医院临床路径管理中实施PDCA循环管理,有助于规范医疗行为,持续改进医疗质量,控制医疗成本,提高患者满意度。
Evaluation of the Application of PDCA Cycle in Hospital Clinical Pathway Management
Objective To explore and analyze the application effect of PDCA cycle in hospital clinical pathway management.Methods Data indicators of clinical path management in Ningde Municipal Hospital of Ningde Normal University from January to December 2019 and during the implementation of PDCA cycle continuous improvement from January 2020 to December 2022 were retrospectively analyzed,and the entry rate,completion rate,variation rate,average hospitalization cost and average hospitalization days of clinical paths before and after the implementation were analyzed.The effect before and after implementation was evaluated.Results After the implementation of PDCA cycle management,the clinical management path was continuously improved,and the entrance rate and completion rate of a certain range were increased,the mutation rate has decreased,the diagnosis and treatment process has been standardized,the average hospitalization days of patients have been shortened,and the average hospitalization cost has been reduced.Conclusion The implementation of PDCA cycle management in hospital clinical pathway management is helpful to standardize medical behavior,continuously improve medical quality,control medical cost,and improve patient satisfaction.

PDCA cycle managementclinical pathwaydiameter ratiocompletion ratevariation ratehospital management

王燕贞、陈明贞、吕澄珑

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宁德师范学院附属宁德市医院质控科,福建宁德 352100

PDCA循环管理 临床路径 入径率 完成率 变异率 医院管理

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(9)