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In our hospital, since 1997 we introduced the critical path and used routinely 9 critical paths out of 13made in neurosurgery ward. When we used critical paths, it seemed that the cause of occurrence of variance was whether the patient had hemiparesis or not. In this report, we considered the effect of hemiparesis tovariance of critical path by analyzing the variance data from critical paths in 27 cases with caroti endoarterectomy. As the result of consideration, medical acts as medical procedure, drip infusion and so on had less effectwith or without hemiparesis on variance of critical path. In the items about ADL such as cleanliness, bed restlevel, elimination etc. and hospital days, being with or without hemiparesis affected variance materially.Therefore, it was difficult for only one type of critical path of carotid endoarterectomy to respond all cases. Wemade CEACP-A as without hemiparesis and CEA CP-B as with hemiparesis. On admission, we checked the situation of patient by modified Rankin scale and decided which critical path was better for the patient. Also wereported rehabilitation critical path because the patient with hemiparesis is necessary to have rehabilitation program.
- 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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