社区获得性肺炎临床路径知识培训课件

,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Respiratory Medicine,贵州省人民医院 贵州省呼吸疾病研究所,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,Page,*,Nov 2,2010,CAP Clinical Pathway,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,重庆南川区人民医院,社区获得性肺炎临床路径,知识培训,社区获得性肺炎临床路径,1,临床路径定义,临床路径,(clinical pathway,CP),：是一组人员共同,针对某一病种,的,治疗、护理、康复、检测,等所制定的,一个最适当的，能够被大部分患者所接受的照护计划。,目前已经成为一种有效的医院质量管理工具和疾病诊疗及评估标准。,与临床诊疗指南相比，临床路径更加细化医疗过程，关注过程中的重点环节。注重,对过程中无效行为的控制,，具有高度的,时效性,。,临床路径定义临床路径(clinical pathway,C,寻找,符合成本,-,效益的,最佳治疗护理模式，,诊疗、护理标准化；,缩短,患者,住院天数,；,提高服务质量和患者满意度,；,协调各部门通过临床路径保持一致性提高效率；,降低医疗成本和住院费用,。,实施临床路径的目的,试点工作的目的,严格按照卫生部下发的临床路径标准执行，并不是一味追求缩短住院天数、降低住院费用；,通过试点工作向卫生部提供本地区,CAP,的住院天数、医疗费用的基本情况；,分析产生变异的原因，提出整改措施，提高医疗质量。,寻找符合成本-效益的最佳治疗护理模式，诊疗、护理标准化；实施,临床路径的实施过程（四步）,计划实施,路径制定,路径实施,路径评价,宣传教育,健全组织,选择病种,卫生部、科室,临床医生,试点工作实施小组,临床路径的实施过程（四步）计划实施路径制定路径实施路径评价宣,健全组织 落实责任 信息收集,学科,临床,路径,实施,小组,护 理 组,医 疗 组,组长,:,科主任,组员、,个案管理员,Action,统一管理 统一规划 统一协调,定期汇总 成效分析 评价调整,健全组织 落实责任 信息收集学科护 理 组医 疗 组组长,社区获得性肺炎临床路径知识培训课件,社区获得性肺炎临床路径知识培训课件,治疗方案,入院当天长期医嘱,按呼吸内科常规护理,特级护理,/,一级护理,/,二级护理,病危,/,病重,普食,/,低盐饮食,/,低盐低脂饮食,/,糖尿病饮食,/,低盐低脂糖尿病饮食,/,流食,/,半流食,/,软食,/,无渣饮食,陪护,1,人,间断吸氧,/,持续吸氧,/,面罩吸氧,抗感染治疗（可选药物待定）,止咳，如：克咳,0.9g,po,bid.,（可选药物待定）,祛痰，如：氨溴索,30mg,po,tid.,（可选药物待定）,说明：红色字体表示可选，并不强制要求。,治疗方案入院当天长期医嘱说明：红色字体表示可选，并不强制要求,入院当天临时医嘱,抽血查血常规、肝肾功、血糖、电解质、血沉、术前三项、,CRP,留大、小便常规,病原学检查及药敏（痰培养（可作,1-3,次）、痰找抗酸杆菌（,1-3,次）、痰普通细菌涂片及染色）,胸片、心电图,查动脉血气分析（上氧前）、血氧饱和度,血培养、血,D-,二聚体,胸部,CT,、,B,超、有创性检查（如胸穿抽液、纤支镜，,CT,下肺穿刺）等。,治疗方案,可选做也可全做,入院当天临时医嘱