Application of Quality Control Tools in Rehabilitation Clinical Pathway Management / 中国康复理论与实践

ABSTRACT

Objective:To explore the application value of quality control tools in rehabilitation clinical pathway management. Methods:Quality control tools, such as PDCA circulation, fishbone chart, Gantt chart and 5W1H, were used to analyze the clinical path implements, to find out the reasons for the low rate of clinical pathway entry and completion, and to make continuous improvement. The data from July, 2013 to June, 2018 were divided into ten boxes as half-a-year. The former five boxes were as control group, and the latter five boxes were as study group. Results:There was no significant difference in the number of discharged patients between the study group and the control group (t < 2.260, P > 0.05), but there was significant difference between the two groups in the number of patients entering the rehabilitation, variation and completion in the rehabilitation and the total clinical pathway (t > 6.501, P < 0.001). There were significant differences in the rate of entering total clinical pathway, and the rate of the variation and the completion of total clinical pathway (χ2 > 10.973, P < 0.001). Conclusion:Application of quality control tools can expand the implement of clinical pathway, improve the rate of entry and completion in clinical pathway, and reduce the variation.