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目的分析和评价膝关节镜手术患者实施临床路径过程中发生变异的情况。方法对选入临床路径管理的病例按照变异发生的原因进行归类分析,找出影响住院天数的主要变异。结果与医院系统相关的变异主要由双休日不做检查、不做手术、不办理出院等有关。结论医院双休日不提供相关服务、检查结果不能及时送回及放射检查等待时间过长是延长住院天数的主要变异;缩短住院天数的主要变异为手术安排时间提前。
Objective To analyze and evaluate the variation of clinical pathology in patients with knee arthroscopy. Methods The cases selected for clinical pathology were classified according to the causes of the variation and the main variations affecting the days of hospitalization were found out. The results of the changes associated with the hospital system mainly by the weekend do not check, no surgery, not for discharge and so on. Conclusion The hospital does not provide related services on weekends, the inspection results can not be returned in time and the long waiting time for radiological examination is the main variation in the number of days of hospitalization. The main shortening of hospitalization days is that the time for operation is advanced.