血糖コントロールクリティカルパスによる医療の質の向上
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概要
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To clarify utility of the blood glucose control critical path for two weeks in diabetic patients, length of stay, plan achievement rate, and discharge standard achievement rate were examined by comparison to those in blood glucose critical paths for three weeks. There was no significant difference in the number of patients, age, length of stay, and the discharge standard achievement rate except a plan achievement rate between both critical paths. However, when both groups were compared except for those who not achieved discharge standard, the length of stay in the blood glucose control critical path for two weeks (21.3±7.7 days) was significantly shorter than that for three weeks (18.2±7.5 days) (p=0.02). There was no significant difference in a plan achievement rate between both groups (57.6% vs 42.6%). Furthermore, while correcting variance of the plan achievement, the blood glucose control critical path for two weeks used in succession was divided into the first half and the latter half. In comparison to these both groups, the age in the latter half (65.9±10.0years) was significantly higher than that in the first half (59.3±14.7years) (p=0.05), but the length of stay in the latter half (20.4±7.27days) was significantly shorter than that in the first half (16.0±7.3days) (p=0.02). Besides, the discharge standard achievement rate (58.0%) in the latter half was significantly higher than that in the first half (26.7%) (p=0.02). As the length of stay variance, it was 53 patient factors (delays of recovery 33, lack of understanding 19, onsets of complication 33), staff factors 20 (an insulin treatment introduction delay), hospital factors 8 and, as for the discharge standard achievement variance, it was recognized 14 cases in a patient factor entirely.
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
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