Critical Pathway Implementation for Minor Motor Vehicle Trauma Patients
Journal of the Korean Society of Emergency Medicine
;
: 446-465, 2011.
Article
in English
| WPRIM
| ID: wpr-59126
ABSTRACT
PURPOSE:
The high rate of road traffic crashes and rising medical costs are critical health care problems in Korea as well as in the United States. To reduce the medical cost of minor traffic accidents, we hypothesized that implementation of a 7-day critical pathway (CP) for minor car accident patients (MCP) would decrease medical costs and hospitalization time without lowering patient satisfaction level.METHODS:
A pretest-posttest experimental design was used to verify the effects of CP on MCP, from June 1 to December 31, 2010. A 7-day admission schedule with daily predefined order communication system (OCS) order set was implementated for MCP. On the day of discharge, MCP completed a satisfaction survey, and the total medical cost and cost per day were calculated. Satisfaction with physician and nursing care were also surveyed using the Brief Encounter Psycho-Social Instrument-Korea tool.RESULTS:
Overall rating did not differ in patients processed normally and using the CP, but length of admission was reduced in CP patients. Total medical costs were not different in either group but cost per day was higher in the CP group. Satisfaction with physicians, but not nurses, satisfaction was improved after CP implementation.CONCLUSION:
A critical pathway for MCP reduces length of admission without decreasing patient satisfaction. Total medical costs are not changed after CP implementation but cost per day is significantly increased. Improved job satisfaction in physician but not for nurses was observed after CP implementation. It seems that CP is a effective tool for MCP.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appointments and Schedules
/
Research Design
/
United States
/
Accidents, Traffic
/
Patient Satisfaction
/
Motor Vehicles
/
Critical Pathways
/
Delivery of Health Care
/
Hospitalization
/
Job Satisfaction
Type of study:
Practice guideline
Limits:
Humans
Country/Region as subject:
North America
/
Asia
Language:
English
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2011
Type:
Article
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