Multicenter research on the compliance of clinical pathway of bronchopneumonia in pediatrics of tertiary class A hospitals
10.3760/cma.j.cn101070-20190719-00659
- VernacularTitle:三级甲等医院儿科支气管肺炎临床路径执行情况全国多中心研究
- Author:
Rou LIU
1
;
Kexin SHUAI
;
Yanmin BAO
;
Jing LI
;
Lihua LIN
;
Jizu LING
;
Li QIU
;
Xueyan WANG
;
Zhengkun XIA
;
Qiaozhi YANG
;
Lei ZHANG
;
Man ZHANG
;
Zhou FU
;
Baoping XU
Author Information
1. 国家儿童医学中心，首都医科大学附属北京儿童医院呼吸科，国家呼吸系统疾病临床医学研究中心，北京 100045
- From:
Chinese Journal of Applied Clinical Pediatrics
2020;35(16):1225-1229
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the enrollment rate, mutation rate and causes of variability the clinical pathway of bronchopneumonia.Methods:The enrollment rate, completion rate, variation and reasons of the clinical pathway in Beijing Children′s Hospital, Capital Medical University from January 2012 to December 2016 were retrospectively collected.Data of patients after the clinical pathway of bronchopneumonia in other tertiary class A hospitals were gathered by questionnaires, and the enrollment rate, completion rate, variation rate and reasons were analyzed.Results:(1)At the end of 2016, 11 of the 13 hospitals included in this study had implemented the clinical pathway for 5 years, 1 hospital for 3 years, and 1 hospital for 2 years.(2) Eleven hospitals provided their enrollment rates.The enrollement rate of 2 hospitals was<50%, and that of 9 hospitals was>80%.The annual completion rate of Beijing Children′s Hospital was ≥75%, and the completion rates offered by 8 hospitals were basically >70%.(3) Since the implementation of the clinical pathway for 5 years in Beijing Children′s Hospital, a total of 427 cases were enrolled of which 93 cases were mutated (variability 21.78%). The variability of 5 hospitals was maintained at <15%.The variability of 3 hospitals decreased with the implementation years, and became qualified.The variability of 1 hospital first rebounded and then controlled; 1 hospital increased by 27.65%; 1 hospital was first controlled and rebounded; 1 hospital was always >15%.The main cause of the mutation was coexisting diseases, complications, progression of the disease, or correction of the first diagnosis, etc.Conclusions:The completion rate of tertiary class A hospitals meets the requirements of national policy.However, the enrollment rate needs to be improved, and the variation rate among different hospitals differs a lot.Further implementation of the clinical pathway should be strengthened and monitored.
