2006 Volume 49 Issue 10 Pages 817-824
Based on practice guidelines, we created a critical pathway to support general caring for outpatients with diabetes mellitus, using an “overlay” to make optimal personalized critical pathways. Our critical pathway overviews consist of basic sheets for regular examinations and optional sheets on which the type and frequencies of medical examinations are determined based on parameters such as treatment methods, the severity of diabetic complications, and knowledge levels. The critical pathway is modified continuously as the patitent's condition changes. This is now being evaluated in a clinical trial for outpatients with diabetes mellitus.