응급실에 내원한 소아발열 환자의 Clinical pathway 개발 = Clinical Pathway Development for Pediatric Febrile Patient in Emergency Department

다국어 초록 (Multilingual Abstract)

We decided to apply clinical pathway method, one of case management for efficiency of emergency management and made an attempt to develop clinical pathway tool.
Clinical pathway method is a standardized clinical map for specical diagnosis or symptom. So we were sure that the development of this tool led to achieve improvement or maintenance of quality in medical treatment, parent and patient's satisfaction improvement and efficient management in emergency department.
We spent 8 months on developing clinical pathway tool.
The particular procedure of tool development is as follows.
formation of research team → reference study → analysis of current practical situation → search of symptom or diagnosis that is suitable to clinical pathway → reference study on selected title → taking recognition of superior committee → investigation of existing style on medical breatment → formation and verification of ideal clinical pathway tool → formation of first clinical pathway → pretest and revisement of tool → formation of second clinical pathway → staff education → clinical pathway implement.
The title that we dicided to develop clinical pathway is pediatric fever, which was one of most common symptom in emergency department.
We thought that this tool has an effect on improvement of patient's satisfaction, reduction of length of stay, reducation of cost, improvement or maintenance of clinical quality and efficient management of hospital resource.
Finaly we made clinical pathway tool on pediatric feverile patient.
But we did not apply and value the developed tool on practical situation. So it has difficulties to apply on clinical situation of other hospital setting.
Here is the limitaion of our search. Therefore we recommand further studies on this tool, which are about practical use and valuation of this tool and development of assessment tool for valuation, standard and bench marking.