Proposal of Checklists for Patient Safety in Miniscalpel Acupuncture Treatment of Cervical and Lumbar Spine: Pilot Trial

Abstract

Objectives The authors propose a new checklist model adapted for safety miniscalpel acupuncture procedure of cervical and lumbar spine. Methods On the basis of available literature and expert opinion, a prototype checklist was developed. The checklist was adapted on the basis of observation of daily practice. Results The checklist has three parts: 1. prevention and management of healthcare associated infections, 2. verification list before and after miniscalpel acupuncture treatment, 3. adverse event monitoring after procedure. We presented a summary checklist based on the above contents. Conclusions We propose the first patient safety checklist for minicalpel acupuncture treatment of cervical and lumbar spine. The checklist will be complemented using further research methodologies. (J Korean Med Rehabil 2018;28(1):61-72)

Analysis of Traditional Medical Disputes: Data from the Korean Acupuncture and Moxibustion Medicine Society (2013-2017)

“…Therefore, a thorough explanation of the procedure and risks involved must be given to the patient and then informed consent by the patient given. It is also recommended that the treatment area for acupotomy is clearly marked with a medical marker so it does not wear off easily before treatment [11]. As the position of major nerves and blood vessels slightly change with a change in the patient's posture, it is important to set a specific posture beforehand, according to the treatment purpose [11].…”

A Proposal for Standardization of Acupotomy Terms and Definition Among Korean researchers

“…도침술 관련 용어를 사용한 총 60편의 논문 중, 44 편 3-7,22,23,25,27-31,34-36,38-45,47,49,50,52-58, 그 결과, 뚜렷한 입장이 기술되지 않았던 6편 3,5,8,23,49,68) 을 제외하고 남은 54편 4,6,7,9,10,20,22,24-48,50-67,69-72) 중, 48 편 4,7,9,10,20,22,24-48,50-53,57,58,60,62-67,69-72) (88.88%)에서 도침 을 제 외 하 고 남 은 52편 [3][4][5][6]9,10,20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]42,43,[46][47][48]50,51,[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71]…”

“…도침술의 정의에서 적용부위가 기술되지 않았던 27 편 5,6,8,10,27,29,30,34,38,[42][43][44][45]49,51,[54][55][56][61][62][63][64]67,[69][70][71][72] 을 제외하고 남 은 33편 3,4,7,9,20,[22][23][24][25][26]28,[31][32][33][35][36][37][39][40][41][46][47][48]50,52,53,[57][58][59][60]65,66,68) 중, 31편 3,7,9,20,22,24-26,28,31-33,35-37,39-41,46-48...…”

“…). 포함된 60편 중 55편 3-10,20,22-51,52,54,55,57,58,60-69,71,72) 편 은 학술지에 출판된 논문이었고, 5편 으로 가장 많았고, 그 다음은 종설논문이 10편 8,10,20,22,26,40,54,65,67,69) , 무작위 대조군 연구가 3편 7,41,70) 순이었다. 8,9,22,24,26,32,33,37,46,48,51,63) (21.42%)이었다.…”

“…8,53,56,59,70) 은 학위 논문이었다. 발표연도는 2002년부터 2018년까지 다 양했으며, 2008년에 10편 24-33) 으로 가장 많이 발표되 었고, 그 다음은 2017년에 8편 3,10,[65][66][67][68][69][70] , 2011년 42-47) 과 2012년 48-53) 에 각각 6편 순이었다(Fig. 2).…”