Matching the electronic critical pathway with a paper based critical pathway at Kumamoto Medical Center

概要

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The preparation of an electronic critical pathway requires entry of all medical care data, and an overall view of the records. A computerized critical pathway permits medical staff to refer to it at anytime and anywhere. An electronic critical pathway enables the sharing of medical information, which is one of its advantages over the paper critical pathway. However, electronic medical records have the disadvantage that they do not provide an overall view. Overall view with reduced display (showing the first line only) can be achieved at the same level as that with a paper critical pathway. Variance becomes available for assessment at all levels between a single outcome and the entire outcome of the critical pathway.<BR>At Kumamoto Medical Center, 379 electronic critical pathways were created and used in 43%-49% of hospital inpatients. There was no true improvement in places without standardization. It is important to provide attractive functions of critical pathways in order to promote their use. There is little use of an electronic pathway though, however excellent, at places that lack a critical pathway culture. It is absolutely essential to foster the critical pathway culture in order to provide efficient healthcare.
特定非営利活動法人日本医療マネジメント学会の論文