CAJ | 학술논문

目的：通过分析老年性白内障临床路径的变异因素，提高医疗质量管理。方法选择364例进入临床路径管理的老年性白内障患者，按照与患方相关、与医务人员相关和与医院系统相关三方面的因素对临床路径变异原因进行回顾性调查和分析。结果364例老年性白内障患者中，发生变异的例数124例，变异率为34.07%。变异因素中与患方相关的变异占77.44%，与医务人员相关的变异为15.04%，与医院系统相关变异占7.52%。结论临床路径变异是多因素共同参与的，收集并分析变异原因，提出改进措施，才能更好的实施临床路径。
목적：통과분석노년성백내장림상로경적변이인소，제고의료질량관리。방법선택364례진입림상로경관리적노년성백내장환자，안조여환방상관、여의무인원상관화여의원계통상관삼방면적인소대림상로경변이원인진행회고성조사화분석。결과364례노년성백내장환자중，발생변이적례수124례，변이솔위34.07%。변이인소중여환방상관적변이점77.44%，여의무인원상관적변이위15.04%，여의원계통상관변이점7.52%。결론림상로경변이시다인소공동삼여적，수집병분석변이원인，제출개진조시，재능경호적실시림상로경。
Objective To improve management level of medical quality by analyzing the variations in clinical pathway of Senile Cataract. Methods364 Senile cataract patients with the implementation of clinical pathway were chosen and all the variation information were recorded. Retrospect investigation and statistical analysis were made towards clinical pathways variation according to 3 aspects of the medical staff, patients, and hospitals.Results Variation in the number of cases of clinical pathways for the 124 cases, the variation rate of 34.07%. Of all the variation, 77.44% is associated with the patients’ factors, 15.04% is with the staff’s factors, and 7.52% with the hospital system.ConclusionsVariability of the clinical pathway is involved in many factors. We only strengthen the management of variation to better implement clinical pathways.