Luttman R J, Laffel G L, Pearson S D
Brigham and Women's Hospital, Boston, MA, USA.
Qual Manag Health Care. 1995 Winter;3(2):1-13. doi: 10.1097/00019514-199503020-00004.
Recent changes in health care have focused attention on new tools for planning and managing clinical processes. The use of one tool in particular, clinical pathways, has increased dramatically. Pathways employ a concept long used in other industries: the explicit design and documentation of a process. However, the most common tools used in other industries to perform process design, the Program Evaluation and Review Technique (PERT) and the Critical Path Method (CPM), have not migrated to health care. This article presents a methodology for incorporating PERT/CPM into the design and management of clinical processes.
近期医疗保健领域的变革将注意力集中在用于规划和管理临床流程的新工具上。尤其是一种工具——临床路径的使用显著增加。临床路径采用了其他行业长期使用的一个概念:流程的明确设计和记录。然而,其他行业用于进行流程设计的最常用工具——计划评审技术(PERT)和关键路径法(CPM),尚未应用于医疗保健领域。本文介绍了一种将PERT/CPM纳入临床流程设计和管理的方法。