Gilbert M, Counsell C M
SCI Nurs. 1995 Aug;12(3):87-9.
The delivery of quality patient care in a timely, cost-effective manner is of utmost importance in health care settings. In an attempt to promote continuity and coordination of care, appropriate utilization of resources, and increased patient and health care provider satisfaction, a coordinated care system of patient care delivery was implemented for the spinal cord injured patient. Coordinated care is a multi-disciplinary approach that focuses on achieving patient outcomes within effective time frames which have been established by all members of the health care team involved in the treatment of the SCI patient. Integral to the concept of coordinated care is the utilization of a critical path and variance tracking and analysis. A critical path is a multidisciplinary plan which identifies the time frame in which key events and patient outcomes should occur during an episode of care in order to achieve an optimal use of resources and length of stay. Variance tracking is the comparison of the actual care delivered with the expected plan and the identification of reasons why the care differed.
在医疗环境中，以及时、具有成本效益的方式提供高质量的患者护理至关重要。为促进护理的连续性与协调性、合理利用资源，并提高患者及医疗服务提供者的满意度，针对脊髓损伤患者实施了一套协调护理的患者护理提供系统。协调护理是一种多学科方法，专注于在参与脊髓损伤患者治疗的所有医疗团队成员确定的有效时间范围内实现患者治疗效果。协调护理概念的一个组成部分是使用关键路径以及差异跟踪与分析。关键路径是一个多学科计划，它确定了在一个护理阶段中关键事件和患者治疗效果应发生的时间框架，以便实现资源的最佳利用和住院时间的优化。差异跟踪是将实际提供的护理与预期计划进行比较，并确定护理出现差异的原因。
