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KMID : 0606420060120040316
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Korean Journal of Women Health Nursing
2006 Volume.12 No. 4 p.316 ~ p.325
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Development of a Critical Pathway for Patients with Uterine Artery Embolization
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Chung Kyung-Hee
Ko Young-Sook
Lim Jeong-Ah
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Abstract
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Purpose: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients.
Method: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway.
Result: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed.
Conclusion: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost?effectiveness, and the patients’ and staffs’ satisfaction.
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KEYWORD
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Critical pathway, Uterine artery embolization
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