通讯作者: 刘艳亭, 251158181@qq.com

DOI：10.12201/bmr.202010.00839

DESIGN AND IMPLEMENTATION OF CLINICAL PATHWAY SYSTEM BASED ON SPECIFIC INDEX AND IMPLEMENTATION EFFECT EVALUATION

• 摘要：目的：以积极开展临床路径管理工作，提高病种覆盖面为背景，对信息系统进行改造，实现在HIS系统中嵌入临床路径系统，方便临床医生使用的基础上为管理部门提供临床路径实施效果评价和特异性指标数据，支撑管理层决策。方法：分析临床路径系统在医院中普遍应用的方式，并结合医院实际情况选择将临床路径系统嵌入HIS系统中。根据医政部门要求，制定入径原则，分析临床路径患者就诊流程，结合医院信息系统现状分析设计基于HIS系统的临床路径系统，包含阶段维护、表单填写、执行、打印、特异性指标和实施效果评价、审核与发布等功能模块并编码实现。结果：临床路径系统嵌入在HIS系统住院医生站和住院护士站中，方便了医生和护士对患者进行临床路径工作的操作。医生站实现临床路径患者医嘱与阶段表单中的重点医嘱互选，一次操作完成两项工作，减轻了医生工作量。结论：临床路径系统已上线并推广至25个科室，包含109个病种，实现了住院医嘱与临床路径关键医嘱关联执行，并实现了医政部门收集病种特意性指标和实施效果评价数据的需求，在提高临床路径系统病种覆盖面的同时为医院病种管理提供了数据支持。

  关键词： 特异性指标 实施效果评价 临床路径系统

   

  Abstract: Objective: In order to actively carry out the clinical pathway management and improve the disease coverage as the background, the information system was reformed, and the clinical pathway system was embedded into HIS system, which was convenient for clinicians to use. On the basis of this, the clinical pathway implementation effect evaluation and specific index data were provided for the management department to support the decision-making of the management. Methods: Analyzed the general application of clinical pathway system in hospital, and the clinical pathway system was embedded into HIS system according to the actual situation of the hospital. According to the requirements of the medical and administrative departments, the principle of approach was formulated, and the patient treatment process of clinical pathway was analyzed. The clinical pathway system based on his system was analyzed and designed according to the current situation of hospital information system. The system includes stage maintenance, form filling, execution, printing, specific indicators and implementation effect evaluation, review and release, and coding implementation. Result: The clinical pathway system is embedded in HIS resident doctor station and resident nurse station, which is convenient for doctors and nurses to operate the clinical pathway work for patients. The doctor station realizes the mutual selection of patients orders in clinical pathway and key medical orders in stage form, and completes two tasks at a time, which reduces the workload of doctors. Conclusion: The clinical pathway system has been launched and extended to 25 departments, including 109 diseases. It realizes the association of inpatient orders and clinical pathway key orders, and realizes the needs of medical departments to collect disease specific indicators and implementation effect evaluation data. It improves the disease coverage of clinical pathway system and provides data support for hospital disease management.

  Key words: specificity index,implementation effect evaluation,clinical pathway system

  提交时间：2020-12-03

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• 序号	提交日期	编号	操作
  1	2020-10-30	bmr.202010.00839V1	下载

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