Vikoren Thomas H, Musser R Clayton, Tcheng James E, Nunley James A
Division of Orthopaedic Surgery, Box 3000, Orange Zone, Duke South Hospital, Trent Drive, Durham, NC 27710, USA.
J Surg Orthop Adv. 2006 Winter;15(4):195-200.
Clinical pathways, or caremaps, have become key tools for hospitals to streamline patient care. They are most applicable in situations where a high degree of predictability regarding treatment and/or diagnostic intervention is expected. Perceived advantages include cost savings, more uniform nursing care, and improved patient satisfaction. Total joint replacement is an ideal indication for implementation of clinical pathways. At the authors' institution, despite the adoption of a clinical pathway for these procedures, postoperative orders continue to be handwritten DE NOVO adding variability that may be detrimental to patient safety. This article describes the authoring and implementation of a computerized order process for the care of postoperative total joints patients using a multidisciplinary approach.
临床路径，即护理地图，已成为医院简化患者护理流程的关键工具。它们最适用于对治疗和/或诊断干预具有高度可预测性的情况。其明显优势包括节省成本、护理更加统一以及患者满意度提高。全关节置换术是实施临床路径的理想适应症。在作者所在的机构，尽管针对这些手术采用了临床路径，但术后医嘱仍需从头手写，这增加了变异性，可能对患者安全有害。本文介绍了采用多学科方法为术后全关节患者护理创建和实施计算机化医嘱流程的情况。
