Implement the major hospital indexes examination using clinical pathway as an opportunity
10.3760/cma.j.issn.1008-6706.2014.02.004
- VernacularTitle:以临床路径为契机实行主要住院指标考核
- Author:
Yang LU
;
Feng XI
;
Ajuan GUO
;
Chen LU
;
Shixue LI
- Publication Type:Journal Article
- Keywords:
Clinical pathway;
Average length of stay;
Average hospitalization expense;
Drug proportion;
Examination
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(2):168-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method of the major hospital indexes examination using clinical pathway as an opportunity.Methods Based on the material of our hospital from 2008 to 2010,reference the data of the same level hospital in Xinjiang Uygur Autonomous Region,we set the benchmark and formulated the examination standard of three examination indexes:average length of stay (ALOS),average hospitalization expense and drug proportion.Meanwhile,we took the subentry incentives to give the corresponding reward to clinical departments according to the decreases rate compared with the benchmark monthly.Results ALOS,average hospitalization expense and drug proportion of department and the whole hospital were obviously decreased compared with the same period last year,and the differences were statistically significant (Medical system:t =27.479,14.462,11.362,all P ＜ 0.01 ; Surgical system:t =18.944,16.029,12.071,all P ＜ 0.01).Conclusion After using the examination methods and combining clinical pathway,the effects are obvious,which can effectively shorten ALOS,reduce average hospitalization expense and drug proportion,so as to relieve the patients' economic burden.
