Effects of Implementing Clinical Pathways for the Care of Patients Undergoing Ophthalmic Surgery for Cataract, Glaucoma, and Vitreoretinal Disorder
|
Accession number;06A0036430
|
| Title;Effects of Implementing Clinical Pathways for the Care of Patients Undergoing Ophthalmic Surgery for Cataract, Glaucoma, and Vitreoretinal Disorder |
| Author;
KUBOTA TOSHIAKI
(School of Medicine, Univ. Occupational and Environmental Health, JPN)
KUBOTA TOSHIAKI
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
NAKAMURA AKIHIKO
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
MATSUO JUNKO
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
MOCHIZUKI YASUTAKA
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
MOCHIZUKI YASUTAKA
(Kyudai I Ganka)
ONIZUKA NAOKO
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
SUYAMA YAYOI
(Kokuritsubyoinkiko Nagasakiiryose Ganka)
MIYAZAKI MIHO
(Kyudai I Ganka)
TAWARA AKIHIKO
(School of Medicine, Univ. Occupational and Environmental Health, JPN)
|
Journal Title;Journal of Japanese Ophthalmological Society
|
Journal Code:Z0666A
|
ISSN:0029-0203
|
|
VOL.110;NO.1;PAGE.25-30(2006)
|
| Figure&Table&Reference;FIG.6, TBL.2, REF.14 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Purpose: To evaluate the actual use of clinical pathways and variances, and compare the length of hospital stay for surgery of cataract, glaucoma, and vitreoretinal disorder. Methods: We designed eight types of clinical pathways for the treatment of cataract, glaucoma, and retinal-vitreous disease. We performed 102 phacoemulsifications and intraocular lens (IOL) implantations, 19 glaucoma or combined trabeculotomy and phacoemulsification/IOL, and 69 retinal-vitreous surgeries during a 1-year period from February 2002. We compared the length of the hospital stay before and after clinical pathway implementation. Results: We applied the clinical pathways to 102 eyes(100%) of 67 patients undergoing phacoemulsification/IOL, to 17 eyes(89.5%) of those under-going glaucoma surgery, and to 69 eyes (100%) of those undergoing retinal-vitreous surgery. The variances occurred in 20 eyes(29.9%) of 67 phacoemulsification/IOLs, 6 eyes (31.6%) of glaucoma, and 24 eyes (34.2%) of retinal-vitreous surgery. The length of hospital stay was shortened in phacoemulsification/IOL after clinical pathway implementation: 7.8.+-.3.3 to 6.7.+-.2.5(mean.+-.standard deviation) days. Glaucoma patients had a significantly shorter stay, from 16.4.+-.5.0 to 12.6.+-.3.3 days (Mann-Whitney U test; p=0.032), and the hospital stay for retinal-vitreous surgery was shortened from 22.8.+-.11.1 to 17.9.+-.6.2 days(p=0.001). Conclusions: The application of clinical pathways resulted in substantially reduced hospital stay. (author abst.) |
|
|
|
Related Articles;
|
|
