Abstract
Critical pathway was introduced in Kagawa Rosai Hospital in 1999. Study meetings for critical pathway of our own hospital or those from other hospitals were held for three years, and 140 critical pathways were made. During the studies for standardization of prevention of pulmonary thromboembolism, and an overturn or a fall of the patient, and of proper use of antibiotics, it seemed to be necessary to have a joint meeting with other committees such as safety keeping or infection control committees. And then monthly joint meetings named critical pathway, or CQI (continuous quality improvement)·critical pathway were held 35 times during following three years from 2002. On the average, 99 members attended the meeting and 8.2 presentations were made in a meeting. 30% of presentation was concerning about critical pathway, another 30% was concerning about other committees, and remaining 40% was about other subjects. Until now, 350 critical pathways have been made, and 14 standards of medical treatment have been made after conference with other committees. Furthermore, presentations about concerned subjects, such as order entry system, hospital accreditation by Japan Council for Quality Health Care, and adding the hospitals collaborate with DPC investigation, were increased at that time, and all of them finished without any trouble.
In conclusion, CQI·critical pathway meeting is useful for improvement of quality and standardization of medical treatment, and for promotion of medical team care.
