基于电子病历的临床路径设计与初步探索

摘要

从宏观政策、医院管理、电子病历、临床路径、具体实施、适用范围、评价方法、协作层面、变异控制等层面提出了当前实施临床路径管理存在的问题.从理念框架、系统框架、路径构成等方而介绍了临床路径框架设计的基本理念与流程,并从路径管理、变异管理、医嘱库管理、查询统计、流程与功能等阐述了临床路径管理系统设计流程与功能.%Problems on clinical pathway management in views of macro-policy, hospital management, electronic medical record, clinical pathway, implementation, application scope, evaluation methods, level of cooperation and variation control were discussed.Basic conception and process of clinical pathway structure design in step of conception framework, system structure and pathway composing was introduced.Process and functions of clinical pathway management system in perspectives of pathway management, variation management, medical order database management, search design, process and function.