Development and Application of Critical Pathway for Nasal Bone Fracture Patients

Hwang, Kun; Shin, Jung Yae; Lee, Hye Kyung; Lee, Hwan Jun

Journal of Korean Society Quality Assurance Health Care 2003;10(2): 154.
Published online December 30, 2003.

코뼈골절 환자에서 표준진료지침의 개발과 적용

황건, 신정애, 이혜경, 이환준

인하대학교 의과대학 부속병원 성형외과학교실 및 간호부

Development and Application of Critical Pathway for Nasal Bone Fracture Patients

Kun Hwang, Jung Yae Shin, Hye Kyung Lee, Hwan Jun Lee

Dept. of Plastic Surgery and Nursing, Inha University Hospital

Abstract

Purpose
The aim of this study is to develop and apply the critical pathway to the nasal bone fracture patients and to elucidate its effect.
Methods
Critical pathway (CP) sheet and questionnaire were developed by a team approach. Critical pathway were applied to 30 nasal bone fracture patients (CP group) from June 2001 to November 2001. Length of hospitalization, cost for hospitalization and bed turnover rate of CP group were compared to those of the 30 patients who had same disease entities and treated by conventional regimen (control group).
Results
Length of hospitalization in the CP group (4.20 day) were significantly shorter than that of control group (6.21 day). Mean cost for hospitalization of the CP group (492,106 won) were significantly lower than that of control group (678,376 won). Bed turnover rate in CP group (2.5) were higher than that of control group. The patients satisfaction for the medical personnel, explanation regarding operation procedure, therapeutic operation fee, and length of hospitalization were all affirmative.
Conclusion
Critical pathway that we developed for nasal bone fracture definitely improved the quality of treatment and lowered cost of medical service. Furthermore, other critical pathways should be developed for another facial trauma patients.

Key words Critical pathway;nasal bone fracture;