工业工程2012，Vol.15Issue(5)：21-25,5.DOI:10.3969/j.issn.1007-7375.2012.05.004
基于FMEA的临床路径医疗风险成本估计
Medical Risk Cost Estimation of Clinical Pathway Based on Failure Mode and Effect Analysis
摘要
Abstract
Existing studies on medical risk cost mainly pay attention to complication cost, but ignore medical risk cost of clinical pathway. To solve this problem, based, on reliability theory, a new inventory method is developed in this paper. By combining fault tree analysis (FTA) with failure mode and effect analysis (FMEA) , this method is able to analyze the risk factors in clinical pathway. Then, with average cost of resolve and risk score, the medical risk cost of clinical pathway can be calculated. The performance of the proposed method is evaluated by an esophageal cancer surgery clinical pathway in a hospital in Beijing, it is estimated that the weighted average cost of resolve for an esophageal cancer surgery is 14 710, while the weighted average cost of resolve for an annual esophageal cancer surgery is 397 290, which is a good estimation. Thus, the proposed method can effectively estimate the medical risk cost of a clinical pathway and provides guidance for the practical application.关键词
事故树分析/失效模式与影响分析/医疗风险成本Key words
fault tree analysis/ failure mode and effect analysis/ medical risk cost分类
管理科学引用本文复制引用
仝鹏,刘子先,倪鑫,宋青璐..基于FMEA的临床路径医疗风险成本估计[J].工业工程,2012,15(5):21-25,5.基金项目
国家自然科学基金资助项目(70871086) （70871086）
