Abstract
This study focuses on clinical pathways guided by evidence-based medicine (EBM). With the clinical pathway as the center, the subjective and objective medical knowledge of medical staff are collected, and a clinical pathway management system guided by EBM is established through a unified process; user demand analysis; main considerations; implementation, evaluation, and monitoring of the clinical path; and dictionary maintenance, to help hospitals fully regulate medical behaviors. Next, the study displays the path access prompt box, area 1 management page, table management page, exit prompt box, mutation record page, doctor order interface, revocation of execution, and monitoring interface, and the system designed is compared with the Beijing Shankang Technology (ASK) clinical data management system in terms of user experience. The results showed that the reporting rate of medical adverse events in the system in this study was 0.21%, and the work efficiency was increased by 14%. In terms of users' satisfaction, the hospital managers' satisfaction was 84 ± 5.36%, and it was 95 ± 4.72% for medical staff and 88 ± 4.91% for system administrators, superior to the ASK system; the differences were statistically significant (P < 0.05). In conclusion, the clinical pathway information management system is in line with the working environment of medical staff, and the synchronous monitoring and management of medical quality are achieved through digital means, which can reduce the occurrence of medical adverse events and improve the work efficiency of medical staff.
Highlights
Before the 1980s, the medical research and practice were guided by traditional empirical medicine, which involved personal experience, textbooks, instructions from superior doctors, and some professional journals and literature [1]
With the passage of time, people gradually discovered the following problems in traditional medicine: the conclusions obtained from animal experiments are directly used in clinical practice, and their efficacy and safety cannot be determined; the popularization of observational studies or empirical results in the clinic leads to contradictions between clinical diagnosis and treatment methods; there are differences between actual treatment effects and clinical treatment effects that are inferred only based on the physiological/ pathological mechanism of the disease [2, 3]. ey all reflect the limitations under the guidance of traditional medicine
After the system was set up and tested, to evaluate the user experience, another clinical information system was selected for comparison. e results are shown in Figure 16. e reporting rate of adverse medical events under the ASK system was 0.43%, and the reporting rate of the system in this study was 0.21% (P < 0.05), which indicated that the incidence of adverse medical events under this research system was low
Summary
Before the 1980s, the medical research and practice were guided by traditional empirical medicine, which involved personal experience, textbooks, instructions from superior doctors, and some professional journals and literature [1]. E development of health economics puts forward higher requirements for clinical medicine and how to make decisions with the massive medical evidence becomes a problem of great concern. Following the core idea of cautiousness and accuracy, EBM uses the latest research evidence available to formulate a treatment plan that best suits the patient’s actual situation, plus the doctor’s own professional skills and rich clinical experience, based on the patient’s own pathological conditions and personal willingness. It represents the reform of medical education, the change of medical model, and the new definition of medical authority [9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
