腹式単純子宮全摘術クリティカルパスの効果

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  • The effect of critical path for abdominal total hysterectomy
  • フクシキ タンジュン シキュウ ゼンテキジュツ クリティカルパス ノ コウカ

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The effect of the critical path for patients, who received total abdominal hysterectomy (following ATH) in our department was evaluated by using the Matsushita's criterion. The following points were evaluated; 1. cli nical effects, 2. patients'satisfactory effects, 3. economic effects, for the 162 ATH pathes we used between January 1999 and December 2002. Average hospital stay in 2002 decreased by 4.9 days, total amounts of hospitalization in 2002 increased by 9.7%, rewards of practice per one patient in a day in 2002 increased by 19.7%, compared with those of 1999. Also, in the questionnaire survey for the patients, everyone replied “satisfaction”for the contents and necessity of the path, as well as correspondence of the nurse who explains about the path. It was possible to improve the informed consent and degree of patients'satisfaction by using the path. In addition, the improvement of critical path by collaborating work with physician, nurse, pharmacist and the medical treatment desk work person enabled us to shorten the hospital stay and increase the reward of practice.

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