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目的探讨PDCA循环在提高临床路径管理覆盖面的应用效果。方法查找某院临床路径管理覆盖面不高存在的问题,运用PDCA循环进行根因分析,制定整改方案、落实整改措施、定期检查并持续改进,同时将PDCA循环实施前后进行对照研究。结果应用PDCA循环后,通过制定奖励机制、设立管理要求、建设信息平台、扩大病种范畴、加强科室培训,使医院各级医务人员认识到临床路径管理的重要性,积极主动开展临床路径管理,某院进入临床路径管理占出院患者比例由18.24%提升至33.67%,达到30%以上出院患者开展临床路径管理的要求。结论运用PDCA循环改善临床路径管理的不足,可使临床路径管理覆盖范围扩大,带动整个医疗行为的规范化。
Objective To explore the application effect of PDCA cycle in improving the coverage of clinical path management. Methods To find out the problem of clinical pathway management coverage in a hospital was not high. The PDCA cycle was used to carry out root cause analysis, to develop rectification plan, to implement rectification measures, to regularly check and continually improve, and to conduct a comparative study before and after the implementation of PDCA cycle. Results After the application of PDCA cycle, through the establishment of incentive mechanism, the establishment of management requirements, building information platform, expanding the category of disease, strengthening department training so that all levels of medical staff at hospitals understand the importance of clinical path management, actively carry out clinical path management, The rate of clinical pathway management in a hospital accounting for asymptomatic patients increased from 18.24% to 33.67%, reaching more than 30% of discharged patients for clinical path management. Conclusions The use of PDCA cycle to improve the management of clinical pathways may expand the coverage of clinical path management and standardize the entire medical practice.