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In our department, the critical path (CP) system has been used since 1999, functioning as merely a checklist without expectant satisfaction. The form of the CP was recently renewed to the system, what is called the path package (PP) system, dealing with daily outcomes, treatments and procedures of nursing care for patients in detail, that were recorded after evaluation by nursing and medical staff. For simplification, nursing records were incorporated into the medical records. Medical and nursing staffs were obliged to present analysis and transaction to variance at the daily staff conference held in the following day. The PP has been carried out on 12 out of 30cases of distal gastrectomy during a six-month period from November of 2001, and the usefulness of the PP was compared to the previous cases. After renewal to the PP system, the consumption time-for nursing records was largely shortened and the variance was strictly evaluated. The daily staff conference resulted in speedy transaction to the variance, improvement of the team care and common medical and nursing information of the patients' health condition. A questionnaire about the usefulness of the PP to the nursing staff indicated a very satisfactory result. In conclusion, the PP system of our proposal was useful for simplification of medical and nursing care, analysis and transaction to the variance and improvement of the team care.
- 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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