中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2015年
6期
2-4
,共3页
临床路径%数据挖掘%聚类分析
臨床路徑%數據挖掘%聚類分析
림상로경%수거알굴%취류분석
clinical pathway%data mining%clustering analysis
目的：改进临床路径制定方法，提高临床路径实施质量。方法：基于循证医学，以老年性白内障病种为例，利用数据挖掘、病历聚类分析、信息系统开发等方法制定并实施临床路径。结果：使用本方法与传统方法制定的临床路径相比，住院医嘱聚集程度显著提高12.03%，患者住院费用（不含人工晶体）显著减少273.38元。结论：通过研究方法，可形成基于循证医学的临床路径制定、实施，并按照质量管理方法PDCA环持续改进的有效方法，提高临床路径实施质量，提高工作效率。
目的：改進臨床路徑製定方法，提高臨床路徑實施質量。方法：基于循證醫學，以老年性白內障病種為例，利用數據挖掘、病歷聚類分析、信息繫統開髮等方法製定併實施臨床路徑。結果：使用本方法與傳統方法製定的臨床路徑相比，住院醫囑聚集程度顯著提高12.03%，患者住院費用（不含人工晶體）顯著減少273.38元。結論：通過研究方法，可形成基于循證醫學的臨床路徑製定、實施，併按照質量管理方法PDCA環持續改進的有效方法，提高臨床路徑實施質量，提高工作效率。
목적：개진림상로경제정방법，제고림상로경실시질량。방법：기우순증의학，이노년성백내장병충위례，이용수거알굴、병력취류분석、신식계통개발등방법제정병실시림상로경。결과：사용본방법여전통방법제정적림상로경상비，주원의촉취집정도현저제고12.03%，환자주원비용（불함인공정체）현저감소273.38원。결론：통과연구방법，가형성기우순증의학적림상로경제정、실시，병안조질량관리방법PDCA배지속개진적유효방법，제고림상로경실시질량，제고공작효솔。
Objective: To improve the clinical pathway methods, improve the quality of clinical pathway implementation. Methods:Based on evidence-based medicine and senile cataract disease, we using some methods such as data mining, clustering analysis, information systems development to formulate and implement clinical pathway. Results: Using the method compared with the traditional method of clinical pathway, the doctor's advice aggregation degree increased 12.03% significantly in the hospital, hospitalization expenses (excluding artificial crystal) in patients with significantly reduced 273.38 YUAN. Conclusion: Through the research methods, this paper can formed an effective method based on evidence-based medicine (EBM) of the clinical pathway formulation, implementation, and continuing improvement of the quality management method PDCA loop, to improve the quality of clinical pathway implementation, improve the work efficiency.
