KMID : 0363620210420020062
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Journal of Korean Oriental Medicine 2021 Volume.42 No. 2 p.62 ~ p.71
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Development of a Critical Pathway for a Korean Medicine Hospital Inpatient with Stroke
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Kim Mi-Kyung
Han Chang-Ho
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Abstract
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Objectives: This study was aimed to share the development process of the critical pathway (CP) for the treatment and management of stroke patients admitted to a Korean medicine hospital.
Methods: A draft CP was prepared based on a review of relevant literature and medical records in the hospital, and its validity was reviewed by the in-hospital CP review committee. Each member evaluated all items in the CP on a 5-point Likert scale. Items with an average score of 3.5 or higher or an agreement rate of more than 80% were considered valid. In addition, free described opinions to improve the CP were also received from the review committee.
Results: The horizontal axis of the CP was composed of a time domain, including 7 time points from hospitalization to discharge. The vertical axis was composed of 9 domains of medical practice. All items in the CP satisfied the validity criteria. The CP was revised, supplemented, and completed by reflecting the opinions of the committee.
Conclusions: This CP will be taught to in-hospital users and will continue to be used with regular monitoring and a feedback plan. This study is expected to serve as a useful reference for standardizing the treatment process and delivering measures to improve the adequacy of Korean medicine treatment for stroke patients.
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KEYWORD
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critical pathway, clinical practice guideline, inpatient, Korean medicine, stroke
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