2006 Volume 8 Issue 2 Pages 117-124
The clinical pathways of our clinic use the all-in-one path format, and are prepared by standardizing past data. We have developed an outcome setting sheet to decide what kind of items are specified as the daily attainment target (outcome) and included in the daily activities. The outcome setting sheet consists of six types of formats. First of all, problems that are appraised from the clinical condition at the time of admission are considered, and they are categorized within the expressions of the attainment targets. Then, the standard for each attainment target, what should be done to judge the standard, what should have been attained before attaining the target, what should be done to attain the target, and problems that occur attaining this target are reviewed. The next attainment target is derived, and the same review is repeated to the attainment target. ln this way, in order to judge the attainment target and standard which were acquired, data is collected from the past chart and is standardized. The results are arranged in chronological order, and an overview sheet is prepared. This concept is called the "Patient problem solving outcome thinking on admission type”. The clinical pathways of a total knee arthroplasty on one side were prepared. In total, 231 items were selected as the attainment targets. 172 items should be executed for judgment, and 72 items are regarded as necessary for preparation of the clinical pathways in addition to the above. The data of 475 items in total were collected and standardized.
