Korean J Transplant.  2022 Nov;36(Supple 1):S100. 10.4285/ATW2022.F-2206.

Development of critical pathway for ABO-incompatible liver transplant patients

Affiliations
  • 1Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Abstract

A critical pathway, a part of case management, has emerged in the health care delivery system for quality management that can satisfy the needs of patients with limited manpower and time and increase the satisfaction of medical personnel. In the case of ABO-incompatible transplantation, the complex process that requires preoperative treatment such as plasmapheresis and im-munosuppressant treatment and additional postoperative treatment and monitoring, and communication of a multidisciplinary team in the process, is required. If suitable CP is developed, it is expected that the quality of the treatment process and efficient operation will be achieved. This study was conducted to develop CP for ABO-incompatible liver transplant patients at one hospi-tal. The research method forms a conceptual frame of reference based on the literature review and the protocol currently used in this hospital, and is preliminarily prepared through meetings between multidisciplinary teams such as transplant surgery, gastroenterology, laboratory medicine, radiology, blood bank, and nursing. In order to prepare the critical pathway and confirm its practical applicability, the final critical pathway is confirmed after verifying the clinical validity for liver transplantation patients from 2020 to 2021. In the critical pathway, seven items including examination, diet, medication, assessment, treatment, lab, and education on the vertical axis and the horizontal axis were determined from the time of admission to the day of discharge. By applying the CP developed as a result of this study to practice, it is expected that the ABO-incompatible liver transplantation pro-cess will be standardized to improve the quality of medical care and improve the efficiency of medical institution operation.

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