Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Reduction of Length of Stay in Emergency Room by Using Critical Pathway for Stroke Patients

Critical pathway 적용을 통한 급성 뇌졸중 환자의 응급실 체류시간 단축 효과

  • Yun, Yeo-Ok (Emergency Medical Center, Jeju National University Hospital) ;
  • Kim, Min-Young (College of Nursing, Jeju National University) ;
  • Kim, Woo-Jeong (Department of Emergency Medicine, School of Medicine, Jeju National University) ;
  • Kang, Young-Joon (Department of Emergency Medicine, School of Medicine, Jeju National University) ;
  • Park, Ju-Ok (Department of Emergency Medicine, School of Medicine, Jeju National University) ;
  • Park, Kyung-Hye (Department of Emergency Medicine, School of Medicine, Jeju National University)
  • 윤여옥 (제주대학교병원 응급의료센터) ;
  • 김민영 (제주대학교 간호대학) ;
  • 김우정 (제주대학교 의학전문대학원 응급의학교실) ;
  • 강영준 (제주대학교 의학전문대학원 응급의학교실) ;
  • 박주옥 (제주대학교 의학전문대학원 응급의학교실) ;
  • 박경혜 (제주대학교 의학전문대학원 응급의학교실)
  • Received : 2010.11.12
  • Accepted : 2011.01.18
  • Published : 2011.03.31
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Abstract

Purpose: The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER). Method: The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records. Result: Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA ($x^2$=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance. Conclusion: Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

Keywords

References

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