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目的:本研究旨在通过临床路径管理病人在系统及人为因素方面存在的变异分析,制定相应的整改措施、改进医院工作流程,以更好地实现临床路径变异管理。方法:统计2014年1-10月内临床路径管理病人中系统和人为因素发生率及原因发生情形,根据原因整改后与2015年1-10月同期对比发生率。结论:根据系统及人为因素变异原因进行整改措施后变异发生率显低于整改前。
OBJECTIVE: The purpose of this study is to develop a systematic analysis of patient variability through systematic pathways and human factors through clinical pathways, develop appropriate corrective measures, and improve hospital workflow to better manage variability in clinical pathways. Methods: The incidence and causes of systemic and anthropogenic factors in clinical pathway management patients during January-October 2014 were statistically analyzed. The incidence rate of the comparison was compared with the same period of January-October 2015 after rectification. Conclusion: According to the reason of systematic and human factors variation, the incidence of mutation is lower than that before rectification.