Preoperative Oral Rehydration Therapy Improves the Safety and Quality of Healthcare

DOI 14 References
  • SASAKI Toshio
    Department of Anesthesiology, Kanagawa Cancer Center
  • TANIGUCHI Hideki
    Department of Anesthesiology, Kanagawa Cancer Center Department of Nutrition and Dietetics, Kanagawa University of Human Services
  • SHIBATA Toshinari
    Department of Anesthesiology, Kanagawa Cancer Center
  • FUJITA Hisae
    Department of Anesthesiology, Kanagawa Cancer Center
  • TAKANO Osami
    Department of ICU, Kanagawa Cancer Center

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  • 術前経口補水療法は医療の安全と質を向上させる

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Abstract

  Intravenous infusion therapy (IVT) has been used for preoperative rehydration. However, oral rehydration therapy (ORT) is thought to eliminate the risks associated with intravenous infusion therapy. In our hospital, medical errors related to intravenous infusion therapy decreased significantly when oral rehydration therapy was given (IVT: 27 incidents/mo; ORT: 15 incidents/mo, P=0.0003). In addition, oral rehydration therapy simplified medical practice, which decreased the workload of physicians, pharmacists, and nurses while generating revenues (dietary medical expenses). In conclusion, oral rehydration therapy improved the safety and quality of preoperative care, increased staff members' efficiency, and provided both optimal medical therapy and economic benefits.

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