| Theme | Revisit of Clinical Path in Renal Replacement Therapy | |
|---|---|---|
| Title | Implementation and improvement of clinical pathway | |
| Publish Date | 2005/03 | |
| Author | Yasuko Hayashi | Department of Nursing, Fukui Red Cross Hospital |
| Author | Hayami Watanabe | Department of Medical Record Library, Fukui Red Cross Hospital |
| Author | Hiroyuki Yoshida | Department of Cardiology, Fukui Red Cross Hospital |
| Author | Masato Noguchi | Department of Radiology, Hospital Director, Fukui Red Cross Hospital |
| [ Summary ] | Clinical pathways have become an indispensable tool for many Japanese hospitals. This is due to the revision of the medical payment system, which currently covers the enhancement of hospitalization and medical care plans, the reduction of hospital days at acute hospitals, etc. At Fukui Red Cross Hospital, we first implemented clinical pathways in 1998, freely adapting them to in-hospital situations in the early phase of implementation. We established promotion committees, composed of all divisions and departments in our hospital, under the supervision of the hospital director. After 2002, we defined the “indication criteria” and the “exclusion criteria” more distinctly. This led to clear indications of “mid-term outcome” and “hospital discharge outcome”, by which we realized the essential form of clinical pathways. Since January 2005, we have been planning to implement electronic clinical pathways. At our hospital, clinical pathways were implemented gradually. We believe that it is necessary to employ a method that may be fully adapted to each facility for the implementation and improvement of clinical pathways. |
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