2023年3月临床路径实施情况.docx

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1、2023年3月临床路径实施情况本月，我院共有299个病种实施临床路径管理，全院入径病例数4795例， 管理率为61.55%。在31个实施临床路径的科室中，有4个科室管理率未达到考 核目标要求(50%),分别是神经外科、整形外科、皮肤性病科、肝胆胰外科(表 l)o各科室三级医师组路径实施情况详见表2。根据临床路径管理奖惩方案，本年度对管理率50%的科室按实际入径例数 与达标例数进行差额扣罚，标准为40元/例；对于执行率N50%实施奖励，其中 普通病种40元/例，24H入出院病种10元/例。全院共奖励普通病例131例，24H 病例30例。表1 2023年3月科室临床路径实施情况科室出院 病例 数可

2、入 径例 数其中： 入径 例数正常 出径 例数病种覆 盖率 (%)管理率 (%)入径率 (%)正常出径 率(%)普通 病种 奖励 例数24H 病种 奖励 例数肿瘤外科9083807892.2288.8996.3997.5000乳腺外科26424123422491.2988.6497.1095.7300口腔科6150504681.9781.97100.0092.0000内分泌科1361121044082.3576.4792.8638.4650心胸外科15612711811281.4175.6492.9194.9220产科46936835033478.4674.6395.1195.4300妇科33

3、426323821878.7471.2690.4991.60140疝和腹壁外科9065634972.2270.0096.9277.7840骨科29322520418576.7969.6290.6790.6900消化内科96371766254874.4568.7492.3382.7800临床心理科6754464580.6068.6685.1997.8300儿科47133532129871.1368.1595.8292.831014消化肿瘤内科10373707070.8767.9695.89100.0000胃肠肛外科40127825918569.3364.5993.1771.4300耳鼻咽喉科27

4、121317515278.6064.5882.1686.8600血管外科12178756664.4661.9896.1588.0000肾内科1791191099966.4860.8991.6090.8310呼吸内科27818116915565.1160.7993.3791.7200风湿免疫科9861583762.2459.1895.0863.79140眼科29517416814958.9856.9596.5588.697516神经内科29318516515063.1456.3189.1990.9100泌尿外科31319517512762.3055.9189.7472.5700血液内科37123

5、220112762.5354.1886.6463.1800疼痛病房4828262558.3354.1792.8696.1500科室出院 病例 数可入 径例 数其中：入径 例数正常 出径 例数病种覆 盖率 (%)管理率 (%)入径率 (%)正常出径 率(%)普通 病种 奖励 例数24H 病种 奖励 例数康复医学科5230272757.6951.9290.00100.0000感染性疾病科5729291650.8850.88100.0055.1700心血管内科69744935424064.4250.7978.8467.8010神经外科15087747358.0049.3385.0698.6530整形

6、外科11477565667.5449.1272.73100.0000皮肤性病科7651373767.1148.6872.55100.0020肝胆胰外科221122988655.2044.3480.3387.7600总计779053024795405468.0661.5590.4484.5513130注：按科室“管理率”降序排列;表2 2023年3月各三级医师组临床路径实施情况科室三级医师组出院 人数可入径 病人数入径 人数管理率入径率正常出径 率病种覆 盖率差额例 数产科吴林珍111958980.1893.68100.0085.590产科姜文英120979478.3396.9193.6280.

7、830产科史金凤121968872.7391.6793.1879.340产科徐宁117807967.5298.7594.9468.380儿科滕源98838283.6798.8092.6884.690儿科杜建民100737070.0095.8991.4373.000儿科应爱娟92666166.3092.4290.1671.740儿科张艺102716765.6994.3794.0369.610耳鼻咽喉科倪海峰233100.00100.0066.67100.000耳鼻咽喉科金卫东75646384.0098.4482.5485.330耳鼻咽喉科江波86695058.1472.4696.0080.230

8、耳鼻咽喉科曹晓林108775954.6376.6284.7571.300风湿免疫科黄佼99615858.5995.0863.7961.620妇科商宏恺93838288.1798.8087.8089.250妇科许嵩94797276.6091.1495.8384.040妇科程琪辉91666268.1393.9488.7172.530妇科孙丽萍56352239.2962.86100.0062.506肝胆胰外科卫强107770.00100.00100.0070.000肝胆胰外科蔡阳45292964.44100.0086.2164.440肝胆胰外科周立新70454057.1488.8987.5064.2

9、90肝胆胰外科陆贝21150.00100.00100.0050.000肝胆胰外科陈峻31171548.3988.2486.6754.841肝胆胰外科倪杰249416.6744.4475.0037.508肝胆胰外科贾长库391425.1314.29100.0035.9018感染性疾病科吴旻233100.00100.0066.67100.000感染性疾病科金洁31181858.06100.0055.5658.060科室三级医师组出院 人数可入径 病人数入径 人数管理率入径率正常出径 率病种覆 盖率差额例 数感染性疾病科黄文豹248833.33100.0050.0033.334骨科何帆5555549

10、8.1898.18100.00100.000骨科李茂强45424293.33100.0092.8693.330酰斗边振宇20181890.00100.00100.0090.000骨科姚旺祥44373681.8297.3088.8984.090出斗范小良42292661.9089.6669.2369.050骨科周少波31191445.1673.68100.0061.292王雪鹏54251425.9356.0071.4346.3013呼吸内科金儿72555170.8392.7394.1276.390呼吸内科王娇莉63423961.9092.8689.7466.670呼吸内科夏俊波72474258.

11、3389.3690.4865.280呼吸内科王利民71373752.11100.0091.8952.110康复医学科樊振勇52302751.9290.00100.0057.690口腔科段青云61505081.97100.0092.0081.970临床心理科张海生31242270.9791.67100.0077.420临床心理科高力舒36302466.6780.0095.8383.330泌尿外科陈超82545162.2094.4476.4765.850泌尿外科王于勇89534955.0692.4573.4759.550泌尿外科王旭亮70453752.8682.2264.8664.290泌尿外科邓

12、刚72433852.7888.3773.6859.720内分泌科张险峰93807378.4991.2527.4086.020内分泌科陈宇25191976.00100.0063.1676.000内分泌科詹宇红17131270.5992.3166.6776.470皮肤性病科吴黎明76513748.6872.55100.0067.111乳腺外科贾鹏辉171717100.00100.00100.00100.000乳腺外科瞿丽505050100.00100.0094.00100.000乳腺外科陈洪刚41353585.37100.0091.4385.370乳腺外科刘坚15613913284.6294.96

13、96.9789.100疝和腹壁外科张方捷38292873.6896.5571.4376.320疝和腹壁外科黄永刚51363568.6397.2282.8670.590神经内科陈琰59424271.19100.0095.2471.190神经内科殷聪国62493962.9079.5987.1879.030神经内科唐波52393261.5482.0578.1375.000神经内科蒋琳70403854.2995.0097.3757.140神经内科王伟平50151428.0093.33100.0030.0011神经外科王昊85575261.1891.23100.0067.060神经外科杨定博653022

14、33.8573.3395.4546.1511肾内科徐群红51414180.39100.0092.6880.390肾内科赵宁77494254.5585.7185.7163.640肾内科谢祥成51292650.9889.6696.1556.860疼痛病房俞良48282654.1792.8696.1558.330科室三级医师组出院 人数可入径 病人数入径 人数管理率入径率正常出径 率病种覆 盖率差额例 数胃肠肛外科居同法115989784.3598.9851.5585.220胃肠肛外科应荣超55373767.27100.0086.4967.270胃肠肛外科余盼攀99655959.6090.7789.

15、8365.660胃肠肛外科孔文成66373654.5597.3086.1156.060胃肠肛外科单毓强66402943.9472.5062.0760.614消化内科金杭斌13312212190.9899.1881.8291.730消化内科杨建锋13211110881.8297.3075.0084.090消化内科张筱凤17814914480.9096.6488.1983.710消化内科袁庆丰101736665.3590.4178.7972.280消化内科李舒丹94716063.8384.5185.0075.530消化内科范震86555361.6396.3675.4763.950消化内科吕文148

16、1017651.3575.2589.4768.240消化内科黄海涛91353437.3697.1488.2438.4612消化肿瘤内科郑松103737067.9695.89100.0070.870心胸外科魏东山12121100.00100.0095.24100.000心胸外科冯兴67635988.0693.6593.2294.030心胸外科江洪88433843.1888.3797.3748.866心血管内科李虹343100.0075.0066.67100.000心血管内科童国新96636264.5898.4174.1965.630心血管内科钟益刚107856964.4981.1875.3679

17、.440心血管内科叶显华125787560.0096.1564.0062.400心血管内科潘浩112695347.3276.8186.7961.613心血管内科来蕾140906546.4372.2249.2364.295心血管内科许轶洲114602723.6845.0051.8552.6330新生儿科张志群78424152.5697.6297.5653.850血管外科解旭品62444267.7495.4595.2470.970血管外科王林君59343355.9397.0678.7957.630血液内科高大泉454100.0080.000.00100.000血液内科谢亚萍125918668.80

18、94.5150.0072.800血液内科陈况108666257.4193.9491.9461.110血液内科谭俊峰72503751.3974.0048.6569.440血液内科施鹏飞62201219.3560.0075.0032.2619眼科吴年浪97686769.0798.5373.1370.100眼科钟建光80545265.0096.3098.0867.500眼科李棣118524941.5394.23100.0044.0710整形外科李金晟12916100.0055.17100.00100.000整形外科陈海华16141168.7578.57100.0087.500整形外科沈海燕18131266.6792.31100.0072.220整形外科贾明26211765.3880.95100.0080.770肿瘤外科彭友28262589.2996.15100.0092.860肿瘤外科潘钢62575588.7196.4996.3691.940质量管理部2023年4月10日