Clinical Gastroenterology Vol.17 No.5(5)

Theme Clinical Pathway for Digestive Diseases
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.
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