目的探讨医院风险管理中临床路径的作用。方法在临床科室组织开展单病种临床路径管理,根据不同病种,将符合入组标准的住院病例,分别设相应的观察组,之前相等时间段内既往病例设置为相应病种的对照组(历史对照)。针对腹股沟疝无张力疝修补术,将研究阶段未开展临床路径管理科室符合入组标准的病例设为对照组(同期对照)。比较观察组与对照组患者平均住院日、住院费用、治愈率或成功率、并发症发生率、满意度评分、投诉率等医疗指标的不同。结果所有病种观察组中平均住院日降低,满意度评分明显增高;绝大部分病种平均术前住院时间、住院费用、并发症发生率降低;面肌痉挛神经微血管减压术治愈率明显提高。结论提高风险管理水平不仅是医院生存发展的需要,也是现代医院管理的迫切需求,临床路径管理是一种包涵了质量保证、医疗成本控制的风险处置措施。 Objective To explore the role of clinical pathway in hospital risk management. Methods The clinical pathway management of single disease was carried out in the clinical departments. According to the different diseases, the inpatients that meet the inclusion criteria were set up as corresponding observation groups. Previously, the previous cases were set as the corresponding disease control group Historical comparison). For inguinal hernia tension-free hernia repair, the study phase did not carry out clinical path management departments meet the inclusion criteria for the case as a control group (contemporaneous control). The average hospitalization days, hospitalization costs, cure rates or success rates, complication rates, satisfaction scores, complaints rates and other medical indicators were compared between the observation group and the control group. Results The average length of stay in all disease observation groups was decreased, and the satisfaction score was significantly increased. The average preoperative hospital stay, hospitalization costs and complication rates of most diseases were decreased. The cure rate of hemifacial spasm with neurovascular decompression was significantly increased . Conclusion Increasing the level of risk management is not only the need of survival and development of hospitals, but also the urgent need of modern hospital management. Clinical path management is a kind of risk treatment measures that includes quality assurance and medical cost control.