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实施24小时临床路径对缩短白内障手术患者平均住院日的研究
引用本文:杨天桂,莫春梅,程永忠,石应康.实施24小时临床路径对缩短白内障手术患者平均住院日的研究[J].中国医院,2009,13(12):19-21.
作者姓名:杨天桂  莫春梅  程永忠  石应康
作者单位:四川大学华西医院,610041,四川省成都外南国学巷37号
摘    要:目的:对白内障手术患者实施24小时临床路径管理,以研究和探讨白内障手术患昔最短住院天数和对住院费用的影响。方法:对实施临床路径前后有关数据进行统计分析。结果:研究表明本组40例患者平均住院日明显缩短,无术前天数;平均住院费用、床位费与药费分别下降8.46%,89.9%1和80.70%。无1例非计划再入院。结论:实施24小时临床路径可最大限度地缩短白内障手术患者的平均住院日,同时还可取得降低住院费用的效果。

关 键 词:平均住院日  临床路径  白内障手术

Research on implementing 24 hours clinical pathway to shorten average length of stay of cataract surgery
Affiliation:YANG Tiangui, MO Chunmei, CHENG Yongzhong, et al(Huaxi Hospital of Sichuan University, No.37, Nan Guo Xue Xiang, Chengdu, 610041, Sichuan Province PRC)
Abstract:Objectives: Implementing 24-hour clinical pathway management of cataract surgery palients to analyze the shortest length of stay and the factors influencing inpatient hospitalizalinn cost. Methods: Data of pre- and pnsl clinical pathway management were analyzed. Results: Forty patient' s average length of stay was significantly shortened after implementing clinical pathway and without pre-operalion days. The average hospitalization costs, bed fee and drng costs redu, ed 8.46%, 89.9% and 80.70% respectively. None of unplanned readmission was observed. Conclusions: 24-hour clinical pathway management can flJrthest shorten the average length of stay and reduce hospitalization cosls.
Keywords:averaged length of stay  clinical pathway  cataract surgery
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