The variance analysis of clinical pathway in children with bronchopneumonia

The objective of this article is to summarize and analyze the variance of clinical pathway in children with bronchopneumonia and come to a rectification in order to reduce variance cases. The objects are children with bronchopneumonia from April 2010 to April 2011 in our hospital. We made a statistic about the number of variance cases and variance reasons and got the results as below: (1) there were 46 cases into the pathway totally in the first 5 months. And 12 of them developed variance (26.1%) among which plus-variance accounts for 83.3%. Then we adjusted the standard for the averaged length of stay (ALS) from 7~14 days to 5~10 days. After that, there were 121 cases into the pathway. And 42 of them developed variance (34.7%); (2) the causes for variance include: the rapid recovery (31.9%), secondary infection (26.2%), severe condition (23.8%), accompanied by other diseases (11.9%) and applications by patients' parents (7.1%). So we draw the conclusions: (1) it is reasonable to make 5~10 days as the standard for ALS for children with bronchopneumonia in our hospital; (2) taking precautions against hospital infection would decrease variance rate effectively.