Implementation of a Clinical Pathway in Primary Spontaneous Pneumothorax Patients Treated by Wedge Resection Surgery

Mo, JinA; Oh, HyunSoo; Ahn, Youngmee; Seo, WhaSook

doi:10.1097/nur.0b013e3181f87235

Cited by 2 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is especially important in some environment, where reimbursement for hospital care is on a diagnosis related group episode base. In Korea, the diagnosis related group-oriented CP was adopted in 1997 and has been in expansion11).…”

Section: Introductionmentioning

confidence: 99%

Implementation and Outcomes of a Critical Pathway for Lumbar Laminectomy or Microdiscectomy

Chung

Lee

Kim

et al. 2012

J Korean Neurosurg Soc

View full text Add to dashboard Cite

ObjectiveThe aim of this study is to implement a critical pathway (CP) for patients undergoing lumbar laminectomy or microdiscectomy and describe the results before and after the CP in terms of length of hospital stay and cost.MethodsFrom March 2008 to February 2009, 61 patients underwent lumbar laminectomy or microdiscectomy due to stenosis or one- or two-level disc herniation in our department and were included in the prepathway group. After development and implementation of the CP in March 2009, 58 patients were applicable for the CP, and these were classified as the postpathway group.ResultsThe CP, which established a 6-day hospital stay (5 bed-days), was fulfilled by 42 patients (72.4%) in the postpathway group. The mean length of stay was 5.4 days in the postpathway group compared to 6.9 days in the prepathway group, demonstrating a 20% reduction, which was a statistically significant difference (p≤0.000). There was a statistically significant reduction in charges for bed and nursing care (p=0.002).ConclusionImplementation of a CP for lumbar laminectomy or microdiscectomy produced significant decreases in length of hospitalization and charges for bed and nursing care. We believe that this CP reduces the unnecessary use of hospital resources without increasing risk of adverse events.

show abstract

Section: Introductionmentioning

confidence: 99%