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KMID : 0390220000110020256
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 2 p.256 ~ p.260
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Implementation of a Critical Pathway for Tonsillectomy and Adenoidectomy
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변성환/Sung Wan Byun
윤선옥/장주애/이재연/신혜정/홍순관/Sun Ok Yoon/Je Ae Chang/Jae Yeun Lee/Hye Jung Shin/Soon Kwan Hong
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Abstract
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Background and Objectives : The current health care climate demands the provision of patient care in a cost-
effective manner. Critical pathway implementation has the potential to standardize treatment and improve the
cost-effectiveness. The aim of this study was to evaluate whether implementation of a critical pathway for
tonsillectomy and adenoidectomy would affect the time of charting and patient care and the satisfaction of
patients. Materials and Methods : One hundred seventy one patients were included in the study. The critical
pathway was implemented for 146 patients while the other 25 patients were treated without implementation of
the pathway. Results : The time of charting (70%)and working(45%) was reduced after implementation of
critical pathway. Patient satisfaction was increased in both kindness of health care team(12%) and patient care
itself(12%). The variation of length of hospital stay was 20.5%(30/146). Conclusion : Implementation of a
critical pathway has played a significant role in decreasing the time of charting and patients care and increasing
patient satisfaction. Thus critical pathway implementation is an effective method to save time of medical care
team and to increase patient satisfaction.
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KEYWORD
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