CRITICAL PATHWAY ON GENERAL ANESTHESIA FOR DISABLED CHILDREN

장애아동 전신마취에 대한 Critical Pathway적용

  • Kum, Jin-Eun (Department of Pediatric Dentistry, Pusan National University Hospital) ;
  • Lee, Su-Jin (Department of Quality Improvement & Infection control Team, Pusan National University Hospital) ;
  • Huh, Jeong-Ae (Department of Quality Improvement & Infection control Team, Pusan National University Hospital) ;
  • Jeong, Tae-Sung (Department of Pediatric Dentistry, Pusan National University School of Dentistry)
  • 금진은 (부산대학교병원 소아치과) ;
  • 이수진 (부산대학교 병원 적정관리팀) ;
  • 허정애 (부산대학교 병원 적정관리팀) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실)
  • Published : 2007.12.31

Abstract

A critical pathway (CP) defines the optimal care process, sequencing and timing of intervention by multi-disciplinary health care teams for a particular diagnosis and procedure. It plays an important role as a cost-effective health care delivery system and a tool for quality control of medical and dental services by means of standardizing medical practices. The aim of this study is to investigate the satisfaction of patients and medical/dental staff after implementation of a critical pathway for dental treatment of disabled children under general anesthesia and its cost effectiveness. Ten patients who underwent dental treatment under general anesthesia were included in the CP group between August and December 2006. The pre-CP group included 20 patients who underwent the same procedure from February 2003. The satisfaction of parent of child patient and medical staff members were compared between two groups. The parents' satisfaction was significantly improved after the implementation of CP and medical/dental staff members were highly satisfied with the usefulness of the critical pathway. In conclusion, the critical pathway for the dental treatment of disabled treatment under general anesthesia can highly improve the satisfaction of parents and medical/ dental staff members.

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