摘要
目的:改进临床路径制定方法,提高临床路径实施质量。方法:基于循证医学,以老年性白内障病种为例,利用数据挖掘、病历聚类分析、信息系统开发等方法制定并实施临床路径。结果:使用本方法与传统方法制定的临床路径相比,住院医嘱聚集程度显著提高12.03%,患者住院费用(不含人工晶体)显著减少273.38元。结论:通过研究方法,可形成基于循证医学的临床路径制定、实施,并按照质量管理方法PDCA环持续改进的有效方法,提高临床路径实施质量,提高工作效率。
Objective： To improve the clinical pathway methods, improve the quality of clinical pathway implementation. Methods： Based on evidence-based medicine and senile cataract disease, we using some methods such as data mining, clustering analysis, information systems development to formulate and implement clinical pathway. Results： Using the method compared with the traditional method of clinical pathway, the doctor＇s advice aggregation degree increased 12.03% significantly in the hospital, hospitalization expenses （excluding artificial crystal） in patients with significantly reduced 273.38 YUAN. Conclusion： Through the research methods, this paper can formed an effective method based on evidence-based medicine （EBM） of the clinical pathway formulation, implementation, and continuing improvement of the quality management method PDCA loop, to improve the quality of clinical pathway implementation, improve the work efficiency.
出处
《中国数字医学》
2015年第6期2-4,共3页
China Digital Medicine
基金
国家自然科学基金资助项目(编号:71432002)~~
关键词
临床路径
数据挖掘
聚类分析
clinical pathway, data n＇fining, clustering analysis
