The Japanese Journal of Jaw Deformities
Online ISSN : 1884-5045
Print ISSN : 0916-7048
ISSN-L : 0916-7048
Role of Clinical Path in Risk Management of Orthognathic Surgery
Revision of the Clinical Path in Our Clinic
JUN-ICHI TANAKAHIDEKI ICHIKAWAMASATO NARITAAKI ITOHIDEO MATSUZAKIHITOSHI OHATANOBUO TAKANO
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2008 Volume 18 Issue 1 Pages 1-9

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Abstract
We evaluated the role of the clinical path in risk management of orthognathic surgery.
The subjects were 316 patients who underwent LF I+SSRO (49), SSRO (247), or other orthognathic surgery (20) with management by the clinical path.Causes of deviation from the path, outcomes of variance, and results of a questionnaire survey of nurses were analyzed.
As a result, specific problems in each patient could be identified, i. e., the admission period, surgical and anesthetic methods, and postoperative management could be improved by modifying the clinical path.
When a clinical path is applied, specific problems are indicated as deviations and variance.In risk management, measures for specific problems are more effective than evaluation of abstract problems.Therefore, approaching each problem revealed as deviations and variance from the clinical path and modifying the clinical path are considered to lead directly to improvements in risk management.
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© Japanese Society for Jaw Deformities
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