[Electronic clinical pathway for community acquired pneumonia (e-CP CAP)].
Clinical pathway is a useful strategy for the management of risk and cost for medical care. We developed an electronic clinical pathway (e-CP) for community acquired pneumonia (CAP). We programmed all medical procedures, including physical and laboratory examinations, medical care, prescriptions, diets, limitations of activities, and patient education on a computer. With e-CP, we achieved 30% cost reduction (34048 points vs. 24338 points), 25% shortening of admission duration (10.77 days vs. 8.03 days) and 21% shortening of the duration of intravenous antibiotics administration (8.22 days vs. 6.47 days). Introduction of computer-aided clinical pathway for CAP may contribute to the standardization of medical care for patients with CAP.
Usui
Kazuhiro
K
Division of Respirology and Chest Surgery, Kanto Medical Center, NTT-EC 5-9-22 Higashi-gotanda Shinagawa-ku 141-0022 Tokyo, Japan.
Kage
Hidenobu
H
Soda
Manabu
M
Noda
Hiromichi
H
Ishihara
Teruo
T
D000328:Adult; D019090:Case Management; D017714:Community-Acquired Infections / Q000191:economics*; D003365:Costs and Cost Analysis; D019091:Critical Pathways / Q000191:economics*; D004582:Electronics, Medical; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000191:economics*; D012720:Severity of Illness Index