The effect of introduction of critical pathway
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- Wakatsuki Toshiro
- The Department of Surgery, Sanin Rosai Hospital
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- Tanida Osamu
- The Department of Surgery, Sanin Rosai Hospital
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- Itamochi Miyuki
- The nurse of surgical ward, Sanin Rosai Hospital
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- Saiki Reiko
- The nurse of surgical ward, Sanin Rosai Hospital
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- Aoto Chieri
- The nurse of surgical ward, Sanin Rosai Hospital
Bibliographic Information
- Other Title
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- クリティカルパス導入効果について―胃がん切除クリティカルパスを中心に―
- クリティカルパス ドウニュウ コウカ ニ ツイテ : イガン セツジョ クリティカルパス オ チュウシン ニ
- 胃がん切除クリティカルパスを中心に
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Abstract
We examined the effect of the introduction of critical pathway in surgical ward especially focusing on the gastric cancer case. We started 14 kinds of critical pathway including gastric cancer from August 2001. We studied the economical efficiency during two years (before and after critical pathway started) with the length of stay, the number of new hospitalization and the total amount medical expense, the average medical expenses a day of 156 gastric cancer patients (74 examples before critical pathway started and 82 examples after). The standardization of medical treatment of those patients was examined from each medical examination act such as a meal start after operation, intravenous drip medication period, an antibiotic medication days, postoperative admission days and the removal of nasal tube drain. We performed the questionnaire to them to know the degree of their satisfactory. The length of stay becomes short and the number of new hospitalization increases. The total amount medical expenses become low, but the average medical expenses a day becomes high. Medical standardization progresses among each doctor. Intravenous drip medication, the antibiotic medication period are significantly shortened. Nasal tube and drain are removed earlier than before with a significant difference. As a result patient undergone an operation begin to walk early and become to leave hospital early. The complication rate is reduced, but there is no significant difference. The degree of patient satisfactory is extremely high and not only a patient but a family can participate in medical treatment positively. We can get the economical efficiency effect, medical standardization and the patient satisfactory by critical pathway introduction.
Journal
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- The Journal of Japan Society for Health Care Management
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The Journal of Japan Society for Health Care Management 5 (2), 334-338, 2004
Japan Society for Health Care Management
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Details 詳細情報について
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- CRID
- 1390282679463240064
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- NII Article ID
- 130004175213
- 40019984964
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- NII Book ID
- AA11865167
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- ISSN
- 18846793
- 13456903
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- NDL BIB ID
- 025282334
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed