Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Development and Application of Critical Pathway for Orbital Wall Fracture Patients

눈확파열골절 환자에서 표준진료지침의 개발과 적용

  • You, Sun Hye (Department of Plastic Surgery, Inha University College of Medicine) ;
  • Hwang, Jin Hee (Department of Plastic Surgery, Inha University College of Medicine) ;
  • Hwang, Kun (Department of Plastic Surgery, Inha University College of Medicine)
  • 유선혜 (인하대학교 의과대학 성형외과학교실) ;
  • 황진희 (인하대학교 의과대학 성형외과학교실) ;
  • 황건 (인하대학교 의과대학 성형외과학교실)
  • Received : 2007.08.17
  • Published : 2007.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study is to develop and apply the critical pathway to the orbital wall fracture patients and to elucidate its effect. Methods: Critical pathway(CP) sheet and questionnaire were developed by a team approach. Critical pathway was applied to 7 orbital wall fracture patients (CP group) from April 2006 to September 2006. Length of hospitalization and cost for hospitalization of CP group were compared to those of the 10 patients who had same disease entities and treated by conventional regimen(control group). Results: Length of hospitalization in the CP group (7.20 day) were insignificantly shorter than that of control group(8.71 day). Mean cost for hospitalization of the CP group(776,398 won) were insignificantly lower than that of control group(1,028,531 won). The patients satisfaction for the explanation regarding operation procedure, therapeutic operation fee, length of hospitalization and medical personnel were all affirmative. Conclusion: Critical pathway that we developed for orbital wall fracture definitely improved the quality of treatment. Furthermore, other critical pathways should be developed for another facial trauma patients.

Keywords

Acknowledgement

Supported by : 한국학술진흥재단

References

  1. Lim KW, Kim JC, Kim SH, Kim SH: A clinical and statistical analysis of the facial bone fractures: From 1994 to 1998. J Korean Soc Plast Reconstr Surg 26: 1151, 1999
  2. Lee JH, Mun GH, Bang SI: A clinical & statistical analysis of the facial bone fractures: 7 years survey. J Korean Soc Plast Reconstr Surg 25: 1046, 1998
  3. Rogers SN, Naylor R, Potter L, Magennis P: Three years' experience of collaborative care pathways on a maxillofacial ward. Br J Oral Maxillofac Surg 38: 132, 2000 https://doi.org/10.1054/bjom.1999.0208
  4. Kim EK: Overview and development of critical pathway. Training material of C.Q.I. course, The korea health industry development institute. 118: 2001
  5. Lee SI: Overview of critical pathway for its successful development and implementation in korea. The korean society of quality assurance in health care. 6: 6, 1999