We must resolve many problems concerning quality and safety of advanced medical care, including associated unknown risks and unaccustomed operative treatment by less experienced doctors and/or facilities. We propose that PCAPS (Patient Condition Adaptive Path System) we developed will be a useful methodology in order to assure the higher quality and safety of advanced medical care. PCAPS is a health care quality improvement system based on management and standardization of clinical processes. In this study, using living donor liver transplantation as a model, we develop "advanced medical care PCAPS model" which is an electronic supporting system to design clinical plans for advanced medical care as electronic contents, and to improve themselves by extracting empirical knowledge from use of these contents. We also develop "advanced medical care QMS (Quality Management System) model" as a management system monitoring actual quality and safety of advanced medical care and joint both models.
In this program, (P)we will deliver the PCAPS standard contents designed as the best practice for living liver transplantation at that time to the collaborated hospitals, (D)our collaborators will operate living liver transplantation utilizing the latest contents there, and (C)we will consolidate the data obtained by our collaborators to the base station, IBRI, and analyze them. (A)And then, based on the analyzed results, we can improve the contents more. By turning around the PDCA cycle above, we can establish the sustained self-improvement system of living liver transplantation. Consequently it will be expected that unknown risks associated with advanced medical care can be managed and also operative treatment by less experienced doctors and/or facilities can be supported in the safe manner.
