Factors associated with response to compression-based physical therapy for secondary lower limb lymphedema after gynecologic cancer treatment: a multicenter retrospective study.

Background: Lower limb lymphedema (LLL) is one of the most refractory and debilitating complications related to gynecological cancer treatment. We investigated factors associated with response to compression-based physical therapy (CPT) for secondary LLL after gynecologic cancer treatment.

Methods: We performed a multicenter retrospective study using the records of seven medical institutions from 2002 and 2014.

Risk factors for late-onset lower limb lymphedema after gynecological cancer treatment: A multi-institutional retrospective study.

Introduction: Late-onset lower limb lymphedema (LLL) is a significant clinical challenge for physicians dealing with patients that undergo treatment involving the pelvic cavity. We aimed to clarify the prevalence of and risk factors for late-onset LLL after treatment for gynecological cancer.

Methods: We conducted a multicenter retrospective study using records of cases in which LLL diagnosed by physical findings and measurement of limbs girths.

Quality Improvement of Blood Drawing Through Targeted Training Using an Operation Support System.

In order to reduce the rate of needle re-insertion (hereafter, retaking) during a blood drawing operation, we proposed a method for training blood drawing staff, based on data analysis. The method is composed of three steps: (1) analysis of collected data for selecting staff to be trained intensively, (2) training, and (3) assessment of training results. We obtained the result that the retaking rate was reduced for the trained staff.

Designing Structured Regional Alliance Path Model for Healthcare Coordination Based on PCAPS.

A deficit in medical insurance finance has been observed with an increase in national medical expenses due to rapid aging, and the premium income does not increase. Therefore, efficient functioning of all medical institutions, reinforcement of a coordinated medical care system, and effective practical use of this system are necessary. In this study, a coordinated medical treatment system is considered and a regional alliance path is designed as a tool that facilitates in improving the coordinated medical treatment system step-by-step.

Structuring development process of learning knowledge and procedure in healthcare using the unit process flow chart.

Websites are effective in supplying knowledge and learning methods in healthcare and also in improving them. However, either a supplier of the knowledge or a supplier of the learning method based on the knowledge is not able to accumulate what they have learnt through the development. We developed a system to improve development processes of knowledge and of learning method by using the methodology of quality management.

A method to improve a job process at a hospital using the "unit process flow chart".

The development of methods to improve the quality of services provided at hospitals has been essential owing to the inadequacy of arrangements for standard procedures and the inadequacy of work instructions based on such procedures. In this paper, we propose a method that involves the following steps: description of the job process, analysis of the causes of incidents, and the planning of improvements for the relevant job process. This method describes a healthcare process using a set of unit process flow charts (UPFCs), which are structured and standardized modules represented in the form of flow charts that elucidate the elements of jobs.