CPA program을 활용한 복강경을 이용한 질식 자궁적출술 환자 Critical Pathway 개발
Development of Critical Pathway for Laparoscopic Assisted Vaginal Hysterectomy by CPA program
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초록
Objective: The aim of this study was to develop critical pathway for post operation care of laparoscopic assisted vaginal hysterectomy with time and cost effectiveness using a clinical pathway assistant program (MDCPATM, MDware Co.) Methods: Procedure was done with the following steps; establishment of conceptual framework, development of preliminary critical pathway using CPA program, expert validity test, and confirmation of final critical pathway. Results: Preliminary critical pathway was extracted by CPA program, and this result was verified by expert validity test. The process of data collection and analysis to develop the preliminary critical pathway was accomplished automatically by CPA program. The patients' hospitalization period in the aspect of time and cost effectiveness was confirmed as 6 days, and each item of assessment, test, medication, treatment, diet, activity, and teaching were finalized. Conclusion: The CPA program can automate the complicated process, which contains collecting and cleaning the large size EMR data, classifying and confirming the items in critical pathway, so that the time and cost to develop a critical pathway can be reduced. This program is expected to be used for development of critical pathway in a variety of clinical settings in the aspect of time and cost effectiveness.
Abstract
Objective: The aim of this study was to develop critical pathway for post operation care of laparoscopic assisted vaginal hysterectomy with time and cost effectiveness using a clinical pathway assistant program (MDCPATM, MDware Co.) Methods: Procedure was done with the following steps; establishment of conceptual framework, development of preliminary critical pathway using CPA program, expert validity test, and confirmation of final critical pathway. Results: Preliminary critical pathway was extracted by CPA program, and this result was verified by expert validity test. The process of data collection and analysis to develop the preliminary critical pathway was accomplished automatically by CPA program. The patients' hospitalization period in the aspect of time and cost effectiveness was confirmed as 6 days, and each item of assessment, test, medication, treatment, diet, activity, and teaching were finalized. Conclusion: The CPA program can automate the complicated process, which contains collecting and cleaning the large size EMR data, classifying and confirming the items in critical pathway, so that the time and cost to develop a critical pathway can be reduced. This program is expected to be used for development of critical pathway in a variety of clinical settings in the aspect of time and cost effectiveness.
참고문헌 (14)
- Kim JS, "Development of A Critical Pathway for the Management of the Subarachnoid Hemorrhage and Its Application", pp.2001
- Kim YS, "The Analysis of Studies about Critical Pathway in Domestic and Abroad-from 1995 to 1999-", Journal of Korean Society of Quality Assurance in Health Care, 7(2), pp.156~167 (2000)
- Jang YS, "Development of a Critical Pathway for Patients with Malignant Lymphoma", pp.2004
- Coffy RJ, "An introduction to critical paths", Quality management in health care, 1(1), pp.45~54 (1992)
- Yoon DK, "Clinical Pathways for 6. Acute Appendicitis; Approach for DRG", Journal of the Korean surgical society, 58(1), pp.115~120 (2000)
- Noh GO, "Critical Pathway Development for the Hystrectomy Patients and its applied Effect", Korean J Women Health Nurs, 6(2), pp.234~257 (2000)
- Podore PC, "Infrarenal aortic surgery with a 3-day hospital stay: A report on success with a clinical pathway", Journal of Vascular Surgery, 29(5), pp.787~792 (1999)
- Cabello CC, "Implementation of an interdisciplinary clinical pathway for patients after a liver transplant", Nursing Case Management, 3(6), pp.255~265 (1998)
- Jeon HC, "A study of EMR Data Extraction Method for Clinical Pathway", pp.2006
- Ho SH, "Study on the Development of Critical Pathway for the Cesarean Section using Data Mining Technique", Journal of Korean Society of Medical Informatics, 8(2), pp.41~50 (2002)
- Gibson T, "Critical Pathways: a critical analysis", International Journal of nursing Practice, 2(4), pp.189~193 (1996)
- Park HO, "Development of case Management using Critical Pathway of Posterolateral Fusion for Lumbar Spinal Stenosis", The Journal of Korean Academic Society of Adult Nursing, 12(4), pp.727~740 (2000)
- Lee MO, "Development of the Critical Pathway for the Patient with Tonsillectomy", J Korean Acad Nurs, 33(7), pp.885~894 (2003)
- Kim YS, "Development of Critical Paths for Appendectomy", Journal of Korean Society of Quality Assurance in Health Care, 2(2), pp.32~45 (1995)