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目的探讨临床路径变异的原因,提高临床路径实施质量。方法对我院2011年实施临床路径产生变异的158例病例的变异原因进行分析。结果患者引起的变异占28.5%,医务人员引起的变异占19%,医院本身的原因造成的变异占了40.5%,疾病特异性引起的变异占11.4%。结论可通过强化医院管理、加强医生的培训、加强医患沟通来降低临床路径的变异。
Objective To explore the causes of clinical pathological changes and improve the quality of clinical pathways. Methods The causes of variation in 158 cases of clinical pathways in our hospital in 2011 were analyzed. Results Patient-induced variation accounted for 28.5%, medical staff-induced variation accounted for 19%, hospital-specific causes accounted for 40.5% and disease-specific changes accounted for 11.4%. Conclusions It is possible to reduce the variation of clinical path by strengthening hospital management, strengthening doctors’ training and strengthening doctor-patient communication.