[1]郑志黄陈刘堃黄建南许迅孙晓东孙涛.孔源性视网膜脱离日间手术临床路径应用效果探讨[J].中国卫生质量管理,2021,28(04):12-15.[doi:10.13912/j.cnki.chqm.2021.28.4.04 ]
　ZHENG Zhi,HUANG Chen,LIU Kun.Application Effect of Clinical Pathway of Rhegmatogenous Retinal Detachment Ambulatory Surgery[J].Chinese Health Quality Management,2021,28(04):12-15.[doi:10.13912/j.cnki.chqm.2021.28.4.04 ]

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孔源性视网膜脱离日间手术临床路径应用效果探讨

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年04期页码: 12-15 栏目: 特别关注出版日期: 2021-04-28

Title:: Application Effect of Clinical Pathway of Rhegmatogenous Retinal Detachment Ambulatory Surgery

作者:: 郑志黄陈刘堃黄建南许迅孙晓东孙涛; 上海交通大学附属第一人民医院

Author(s):: ZHENG Zhi; HUANG Chen; LIU Kun; Shanghai General Hospital, Shanghai Jiaotong University

关键词:: 日间手术; 临床路径; 孔源性视网膜脱离

Keywords:: Ambulatory Surgery; Clinical Pathway; Rhegmatogenous Retinal Detachment

分类号:: R197.323;R774.1

DOI:: 10.13912/j.cnki.chqm.2021.28.4.04

文献标志码:: B

摘要:: 目的分析孔源性视网膜脱离日间手术临床路径应用效果，为推广日间手术临床路径提供借鉴。方法按照某院眼科拟定的孔源性视网膜脱离日间手术临床路径标准，采集2019年7月-12月诊治的24例日间手术临床路径患者和随机抽取的同期24例普通病房患者资料，分析比较两组患者的一般情况、住院时间、住院费用和诊疗质量等。结果日间手术临床路径患者术前待床日、平均住院日、平均住院费用、平均药品费用均优于普通病房患者（P<0.05）；两组患者在眼内炎、术后并发症、非计划二次手术人数、出院当天再住院人数和出院后2 d～31 d内再住院人数方面无明显差异（P>0.05）。结论实施孔源性视网膜脱离日间手术临床路径对减轻患者经济负担，控制药占比，保障医疗质量，提高服务效率有明显效果。

Abstract:: ObjectiveTo analyze the effects of clinical pathway of ambulatory surgery for rhegmatogenous retinal detachment (RRD) and provide evidence for promoting the clinical pathway of ambulatory surgery．MethodsAccording to the standard for clinical pathway of ambulatory surgery for RRD designed by the department of ophthalmology in a hospital, 24 patients diagnosed and treated by ambulatory clinical pathway from July to December 2019 and 24 patients randomly selected from general ward during the same period were collected for analysis of general condition, length of stay, cost and quality of diagnosis and treatment between the two groups.ResultsThe bed time before operation, average hospitalization days, average hospitalization costs, and average drug costs of ambulatory pathway patients were superior to those of the ordinary ward patients (P<0.01).There were no significant differences between the two groups in endophthalmitis, postoperative complications, the number of unplanned secondary operations, the number of readmissions on discharge day and the number of readmissions within 2 days to 31 days after discharge (P>0.05).Conclusion The implementation of clinical pathway of ambulatory surgery for RRD can reduce the economic burden of patients, control the drug ratio, ensure the medical quality and improve the service efficiency.

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更新日期/Last Update: 2021-04-28