Infect Chemother.  2022 Jun;54(2):353-359. 10.3947/ic.2022.0069.

Development and Roll-Out of A Coronavirus Disease 2019 Clinical Pathway for Standardized Qualified Care in Public Hospitals in Korea

Affiliations
  • 1Center for Public Health, National Medical Center, Seoul, Korea
  • 2Chungcheongnam-do Seosan Medical Center, Seosan, Korea
  • 3Division of Infectious Diseases, Department of Internal Medicine, National Medical Center, Seoul, Korea
  • 4Graduate School of Urban Public Health, University of Seoul, Seoul, Korea
  • 5Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea
  • 6Division of Infectious Diseases, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea
  • 7Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
  • 8Division of Infectious Diseases, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
  • 9Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 10Division of Infectious Diseases, Department of Internal Medicine, Myongji Hospital, Goyang, Korea
  • 11Division of Infectious Diseases, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 12Department of Urology, National Medical Center, Seoul, Korea
  • 13Division of Infectious Diseases, Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea

Abstract

Despite the coronavirus disease 2019 (COVID-19) vaccination roll-out, variant-related outbreaks have occurred repeatedly in Korea. Although public hospitals played a major role in COVID-19 patients’ care, difficulty incorporating evolving COVID-19 treatment guidelines called for a clinical pathway (CP). Eighteen public hospitals volunteered, and a professional review board was created. CPs were formulated containing inclusion/exclusion criteria, application flow charts, and standardized order sets. After CP roll-out, key parameters improved, such as increased patient/staff five-point satisfaction scores (0.41/0.57) and decreased hospital stays (1.78 days)/medical expenses (17.5%). The CPs were updated consistently after roll-out as new therapeutics drugs were introduced and quarantine policies changed.

Keyword

SARS-CoV-2; COVID-19; Pandemics; Clinical pathways; Hospitals; public
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