{"created":"2023-06-20T15:59:58.514397+00:00","id":18154,"links":{},"metadata":{"_buckets":{"deposit":"de888cc1-914c-400c-890a-cb1ae52e8ddf"},"_deposit":{"created_by":49,"id":"18154","owners":[49],"pid":{"revision_id":0,"type":"depid","value":"18154"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018154","sets":["561:562:566"]},"author_link":["68887","68886","68885"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"21","bibliographicPageStart":"19","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"旭川赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"旭川赤十字病院において、DPCコード別にクリニカルパス作成について、平成25年度の作成状況を確認したところ、約4割が未作成の状況であったことが確認されたことから、事務がDPCデータに基づく作成へのサポートを行うこととした。各診療科で症例数の多かった上位3位までのDPCコードのうち予定入院が多い疾患を抽出し、これらの疾患について作成可能であるか医師と協議し、クリニカルパスが作成しやすい「手術あり」症例で、全国症例ランキングで上位に位置していた消化器内科「肝動脈血管塞栓術パス」を作成した。作成したパスを分析し、医療資源投入量が多かった項目について検討を依頼したところ、抗生物質製剤の投与期間を短縮し、入院中に実施していたCTは退院後外来で実施することとした。その結果、全国の標準的な診療内容に沿ったパスを作成し、活用することができるようになった。この取り組みにより、1症例平均注射が約3,000円、画像は20,000円削減することができた。","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-4417","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"橋本, 由美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中島, 雅己"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺口, 大"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-27"}],"displaytype":"simple","filename":"asahikawa201516-7臨床5.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"asahikawa20151608","url":"https://redcross.repo.nii.ac.jp/record/18154/files/asahikawa201516-7臨床5.pdf"},"version_id":"b5ed818b-c243-4a4c-8f09-c4cf7389e466"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"*診断群別包括支払い方式","subitem_subject_scheme":"Other"},{"subitem_subject":"費用節約","subitem_subject_scheme":"Other"},{"subitem_subject":"*クリニカルパス","subitem_subject_scheme":"Other"},{"subitem_subject":"診療支援","subitem_subject_scheme":"Other"},{"subitem_subject":"肝動脈塞栓術","subitem_subject_scheme":"Other"},{"subitem_subject":"ヒト","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"DPCデータに基づくクリニカルパス作成について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"DPCデータに基づくクリニカルパス作成について"}]},"item_type_id":"10001","owner":"49","path":["566"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-05-27"},"publish_date":"2022-05-27","publish_status":"0","recid":"18154","relation_version_is_last":true,"title":["DPCデータに基づくクリニカルパス作成について"],"weko_creator_id":"49","weko_shared_id":-1},"updated":"2023-06-20T17:46:01.795332+00:00"}