数字化医院临床路径信息系统设计与应用

目的：在临床路径管理方面，传统纸媒介的临床路径管理模式面临诸多实际困难，在推行临床路径过程中瓶颈难以破解，如何实现临床路径的信息化已成为当前临床路径推进过程中亟须解决的重要问题。方法：在对临床路径研究的基础上，提出面向电子病历集成的临床路径设计理念。通过采用现代软件工程的理念和Cache、CSP、Extjs等先进技术，建立以患者诊疗计划为主线，具有循证医学证据并支持HL7标准的临床路径管理系统．实现了路径制定、路径执行、路径管理及统计分析等功能，将知识库信息贯穿整个医疗过程，在自动化、智能化的指导和监督下既严格遵循路径流程，又方便快捷完成诊疗过程。结果：临床路径信息管理系统实现了临床路径的信息化管理，病人平均住院日和手术等待时间取得明显改善，例均住院总费用和例均药品费用绝大部分下降或持平。结论：临床路径信息管理系统的应用最终达到了规范医疗行为、降低成本、减少变异、提高医疗质量的目的。

Design and Application of Digital Hospital Clinical Pathway Information System

Objective： In clinical pathway management, the traditional paper-based media of management mode existed many difficulties, it is difficult to break the bottleneck in the process of clinical pathway, and how to implement of clinical pathway mformatization is a problem to be solved imperatively. Methods： Based on the study of the clinical pathway, this paper presents the design concept of electronic medical record oriented integration. By adopting the theory of software project, Cache, CSP , Extjs and other advanced technology, it establishes the clinical pathway management system with evidence-based medicine and supporting the HL7 standard, patients plan as its storyline, the system realizes the path design, path execution path management and statistical analysis, which puts knowledge base through the course of medical care, that is both follow the path procedure strictly and convenient to complete the treatment process under tbe guidance and supervision of automatic and intelligent, Results： The information-based management of the clinical pathway is achieved by clinical pathway management system, both average days for inpatients and waiting times for operations are improved obviously, most of the average case expense and average case medicine expense are decreased or flatted. Conclusion： Standardize medical behavior, cost reduction, and variation reductions, and the improvement of medical quality are optimized finally by using the clinical pathway management system.