けん板断裂手術へのクリティカルパスの活用

Abstract

We applied critical path to rotator cuff tears. At the introduction of the path, we decided the criteria for discharge. The criteria were the removal of shoulder abduction brace and the activity level of patients for face-washing and eating. At the programming of the critical path, we improved the process in our hospital. After anesthesia, patients remained asleep for 6 hours, and antibiotics administration stopped 2 days after surgery. The surgical wounds were fixed with tape so that the thread did not need to be removed.We examined the patients who were 8 before and 9 after introduction of critical path. We examined the duration of brace use, average number of days of hospital stay, and JOA score.After the introduction of the critical path, the duration of wearing brace use and average number of days in the hospital became shorter. Doctors, nurses, and patients were all satisfied with the critical path.