Role of Clinical Path in Risk Management of Orthognathic Surgery-Revision of the Clinical Path in Our Clinic-:Revision of the Clinical Path in Our Clinic

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We evaluated the role of the clinical path in risk management of orthognathic surgery. The subjects were 316 patients who underwent LF I+SSRO (49), SSRO (247), or other orthognathic surgery (20) with management by the clinical path.Causes of deviation from the path, outcomes of variance, and results of a questionnaire survey of nurses were analyzed. As a result, specific problems in each patient could be identified, i. e., the admission period, surgical and anesthetic methods, and postoperative management could be improved by modifying the clinical path. When a clinical path is applied, specific problems are indicated as deviations and variance.In risk management, measures for specific problems are more effective than evaluation of abstract problems.Therefore, approaching each problem revealed as deviations and variance from the clinical path and modifying the clinical path are considered to lead directly to improvements in risk management.
特定非営利活動法人日本顎変形症学会の論文