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目的构建合理的以项目时间为框架的职业性慢性轻度铅中毒标准住院流程的临床路径,制定合理、有效的诊断治疗管理模式。方法选择职业性慢性轻度铅中毒为临床路径的病种,以GBZ 37—2015《职业性慢性铅中毒的诊断》为基础,以循证医学证据和指南为指导,结合文献研究、病例分析和专家咨询,结合该病种的最佳治疗方案,制定临床路径文本,并进行初步临床验证。结果制定职业性慢性轻度铅中毒的相应临床路径的规范化文件,包括标准住院流程、医师版临床路径《临床路径表单》和《患者版临床路径告知书》。初步临床验证结果显示,该临床路径有利于规范诊断治疗行为,提高医疗质量,缩短住院时间,降低住院费用,减少医疗资源浪费。结论职业性慢性轻度铅中毒临床路径科学、规范、合理、实用,有利于促进疾病治疗的组织和管理。
Objective To establish a rational clinical path of occupational chronic mild lead poisoning hospitalization based on the project time frame and to develop a reasonable and effective diagnosis and treatment management model. Methods Choosing occupational chronic mild lead poisoning as the clinical pathway, taking GBZ 37-2015 “diagnosis of occupational chronic lead poisoning” as the foundation, evidence-based medical evidence and guidelines as a guide, combined with literature review, case analysis and Expert advice, combined with the best treatment of the disease program, the development of clinical pathway text, and preliminary clinical validation. Results Standardized documentation of the corresponding clinical pathways for occupational chronic mild lead poisoning was developed, including standard inpatient procedures, the physician’s clinical pathways Clinical Pathway Forms and the Patient Clinical Pathway Notifications. Preliminary clinical validation results show that the clinical pathway is conducive to standardize the diagnosis and treatment behavior, improve the quality of care, shorten the hospital stay, reduce hospitalization costs, reduce medical resources waste. Conclusion The clinical pathway of occupational chronic mild lead poisoning is scientific, standardized, reasonable and practical, which is helpful to promote the organization and management of disease treatment.