CAJ | 학술논문

目的：通过信息化手段研究基于医嘱系统的临床路径流程设计与改进。方法：以卫计委发布的《医疗机构临床路径的制定与实施》行业标准为依据，结合医院临床实际，重点关注“二个关键时间点，三个控制点”，设计合理的临床路径实施流程并进行改进。结果：系统解决了纸质临床路径监管困难的问题，应用系统流程对近半年路径实施情况进行统计分析，75%的路径病种达到卫计委要求的入组率，80%的路径病种完成率高于70%，每年可节约纸张18万张，节约医生填写路径时间21000小时。结论：系统流程设计合理，应用效果良好。
목적：통과신식화수단연구기우의촉계통적림상로경류정설계여개진。방법：이위계위발포적《의료궤구림상로경적제정여실시》행업표준위의거，결합의원림상실제，중점관주“이개관건시간점，삼개공제점”，설계합리적림상로경실시류정병진행개진。결과：계통해결료지질림상로경감관곤난적문제，응용계통류정대근반년로경실시정황진행통계분석，75%적로경병충체도위계위요구적입조솔，80%적로경병충완성솔고우70%，매년가절약지장18만장，절약의생전사로경시간21000소시。결론：계통류정설계합리，응용효과량호。
Objectives: To study the process design and improvement of clinical pathway through the information-based means. Methods: The practice in our hospital was combined, two key time points and three control points were focused on, and the process of clinical pathway implementation was designed and improved in line with "Development and implementation of clinical pathway for medical institutions" . Results: The present process could solve the problems of difficulties in monitoring clinical pathway in paper documents, and do statistics and analyses for implementation of clinical pathway. The enrollment rates in 75% of the diseases managed by clinical pathway could meet the requirement requested by National Health and Family Planning Commission of the People' s Republic of China, and the completion rates in 80% of the diseases were above 70%. One hundred eighty thousand pieces of paper could be saved each year, and twenty one thousand hours could be saved for doctors to fill out paperwork of clinical pathway. Conclusions: The design of the present process was reasonable, and its application effect was favorable.