摘要
目的推进基于加速康复外科病种临床路径体系建设,提升医院内涵质量建设。方法通过文献法、小组讨论法、专家咨询法等,制定8个重点病种的加速康复外科临床路径,以信息化整合形成临床路径束。结果此模式可以降低患者住院日和住院费用,加快床位周转次数,年手术例数相应增加,尤其是三、四级手术量和占比明显增加。结论基于加速康复外科病种临床路径体系建设能够有效优化病种绩效,改善关键疗效指标,提升医院内涵质量建设。
Objective To vigorously promote the construction of clinical path system based on Enhanced Recovery After Surgery(ERAS),and improve the quality of hospital connotation.Methods Eight clinical pathways of ERAS were developed by means of literature review,group discussion and expert consultation,etc.The clinical pathway beam was formed through information integration.Results The model can reduce the length of stay and hospitalization costs of patients,accelerate the turnover of beds,and increase the number of annual surgical cases,especially the number and proportion of third-level and fourth-level surgeries.Conclusion The construction of clinical pathway system based on ERAS could effectively optimize the disease performance,improve the key therapeutic effect indicators,and effectively improve the quality of hospital connotation.
作者
费鸿翔
侯冷晨
李济宇
秦环龙
王清江
盛伟琪
FEI Hongxiang;HOU Lengchen;Li jiyu(Shanghai Tenth People's Hospital,Shanghai,200072,China)
出处
《中国卫生质量管理》
2019年第6期35-38,共4页
Chinese Health Quality Management
关键词
加速康复外科
临床路径
医院改革
Enhanced Recovery After Surgery
Clinical Pathway
Hospital Reform
