Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Development and Long Term Evaluation of a Critical Pathway for the Management of Microvascular Decompression

  • Lee, Jeong A (Department of Nursing, Samsung Medical Center) ;
  • Kim, Jung Sook (Department of Nursing, Korean Bible University) ;
  • Park, Kwan (Department of Neurosurgery, Samsung Medical Center.School of Medicine, Sungkyunkwan University) ;
  • Kong, Doo-Sik (Department of Neurosurgery, Samsung Medical Center.School of Medicine, Sungkyunkwan University)
  • Received : 2013.11.16
  • Accepted : 2014.01.05
  • Published : 2014.01.31
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Abstract

Purpose: In order to provide a systematic and standardized treatment course for MVD patients, a critical pathway (CP) program was developed and the results of its long term application were analyzed. Methods: This was a methodological study. The CP was established and applied to 75 (step I) and 1,216 (step II). Another group of 56 with similar features was used as a control group. Results: The application of CP turned out to be useful in many regards: the rate of hearing loss was reduced from 1.8% to 0% (step I) and 0.5% (step II), and low cranial nerve palsy was reduced from 1.8% to 1.3% and 0.7%, respectively. The length of hospitalization decreased by 2.56 days (25.2%) for step I and 3.05 days (30.0%) for step II. Days of ICU stay were reduced by 7.9% and 1.8%. The total cost per patient was reduced by 14.8% (step I). The cost per day was increased by 13.7% and 52.4%. An increase in the patient satisfaction index was noted, as shown in the ICU information guide (p=.002). Conclusion: The development and application of CP was found to improve the quality of medical treatment and the efficacy of hospital management in MVD patients. Well organized and efficient system and multidisciplinary teamwork are the key component of the successful application of CP.

Keywords

References

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