Theme | Clinical Pathway for Digestive Diseases | |
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Title | Introduction of Clinical Pathways Concept | |
Publish Date | 2002/05 | |
Author | Hajime Watahiki | Department of Gastroenterology, Seirei Mikatahara General Hospital |
Author | Masao Suzuki | Department of Gastroenterology, Seirei Mikatahara General Hospital |
Author | Hideaki Yamamoto | Department of Gastroenterology, Seirei Mikatahara General Hospital |
Author | Yoko Tsutsui | Department of Nursing, Seirei Mikatahara General Hospital |
Author | Kumiko Mori | Department of Nursing, Seirei Mikatahara General Hospital |
Author | Hiromi Yoshimura | Department of Nursing, Seirei Mikatahara General Hospital |
[ Summary ] | This study dealt with the process for using clinical pathways, making a comparison between clinical pathways for the endoscopic mucosal resection (EMR) of early gastric cancer and that for endoscopic retrograde cholangio-pancreatography (ERCP). The concept of clinical pathways for EMR was introduced in numerous meetings with medical staff members of the gastroenterology unit over a 6 month period. On the other hand, the clinical pathway for ERCP was produced from a formely used manual for ERCP by a pathway committee, without staff meetings in the gastroenterology unit. The purpose of making clinical pathways is to establish a strong medical staff, to produce high quality medical service, and to receive "informed-consent" from patients. In the process of making clinical pathways, it is very important to establish a strong team of doctors, nurses and co-medical staff members, who can communicate with each other. Only clinical pathways produced through this process will hold the promise of being practical in real medical service. |