临床诊疗路径在上消化道出血患者医疗质量同质化中的效果研究

目的 探讨临床诊疗路径在上消化道出血患者医疗质量同质化中的应用效果.方法 采用回顾性研究,选取首都医科大学附属北京友谊医院2018年8～12月收治的120例上消化道出血的患者为对照组,采用常规诊疗方法.选取首都医科大学附属北京友谊医院2019年1～5月收治的130例上消化道出血患者为观察组,采用临床诊疗路径.比较2组患...

Study on the effect of clinical diagnosis and treatment path on the homogenization of medical quality in patients with upper gastrointestinal hemorrhage

Objective To explore the effect of clinical diagnosis and treatment pathway in the homogenization of medical quality in patients with upper gastrointestinal hemorrhage. Methods One hundred twenty patients with upper gastrointestinal bleeding admitted to the Beijing Friendship Hospital,Capital Medical University from August to December 2018 were selected as the control group by retrospective research,and conventional diagnosis and treatment methods were adopted. A total of 130 patients with upper gastrointestinal bleeding admitted to Beijing Friendship Hospital,Capital Medical University from January to May 2019 were selected as the observation group,and the clinical diagnosis and treatment path was adopted. The results of diagnosis and treatment,quality of cases,length of stay and medical expenses were compared between the two groups. Results The average number of modifications of medical orders in the observation group was significantly less than that in the control group [(0. 57 ± 0. 21) times vs.(1. 12 ± 0. 45) times],the difference was statistically significant(P < 0. 05). The total effective rate of the observation group was higher than that of the control group(97. 69% vs. 91. 67%),and the bed time,eating time and hospitalization time were shorter than those in the control group [(20. 12 ± 2. 59) h vs.(24. 53 ± 3. 05) h,(22. 45 ± 2. 87) h vs.(27. 24 ± 3. 12) h,(5. 87 ± 1. 72) d vs.(7. 03 ± 2. 01) d],the differences were statistically significant(P < 0. 05). The observation group’s medication,inspection,and hospitalization expenses were less than those of the control group [(2 294. 4 ± 185. 7) yuan vs.(2 395. 6 ± 205. 3) yuan,(2 834. 2 ± 362. 4) yuan vs.(3 078. 4± 383. 6) yuan,(5 865. 5 ± 721. 6) yuan vs.(6 260. 4 ± 864. 5) yuan],the differences were statistically significant(P < 0. 05). Conclusion The application of clinical diagnosis and treatment path in upper gastrointestinal bleeding can not only improve the therapeutic effect,reduce the treatment cost of patients,but also improve the working efficiency of doctors.