Variation in Clinical Pathway Implementation Process and Discussions on Countermeasures

Abstract

Objective. To analyze the reasons for variation in the clinical pathway implementation management process and to explore effective measures to improve the pathway access completion rate. Methods. By evaluating the pilot management cases of clinical pathway implementation from August to October in 2013, the main reasons for variation in the clinical pathway implementation process are found, analyzed one by one and discussed, so as to put forward corresponding countermeasures and improvement measures. Results. There are three main reasons for variation in the clinical pathway implementation management. The variation factors and the variation ratio are that the patient factors account for 50.00% and the medical worker factors account for 9.38%, respectively, and the medical process and condition factors account for 40.63%. The improvement measures that are put forward are directed at the reasons for variation, so as to improve the completion ratio. Conclusion. The leadership in the hospital should pay high attention to the deficiencies in the clinical pathway implementation management, the medical workers in the entire hospital should act in close coordination, and the clinical pathway evaluation group should improve the research and development and perfect the implementation management system, so as to promote in-depth development of the clinical pathway activities.

Key words::

• Clinical pathway
• Variation
• Countermeasure

Declaration of interest

Project No. 22 of the Hospital Fund (Management): Application of Clinical Pathway in Medical Quality Management.