Literature DB >> 17938782

Clinical pathways in general surgery. Development, implementation, and evaluation.

S Graeber1, S Richter, J Folz, P-T Pham, P Jacob, M K Schilling.   

Abstract

OBJECTIVES: To emphasize the importance of the view of business process management for development and implementation of clinical pathways, and to evaluate their effectiveness in reducing cost and effort as well as enhancing patient satisfaction.
METHODS: We describe the development and implementation of pathways with methods of process management and the design and realization of an evaluation study in the setting of a surgical department. For this study 67 patients treated without clinical pathways were compared with 62 patients treated using pathways.
RESULTS: The approach explicitly enhances the development and implementation of clinical pathways. The introduction of pathways reduces length of hospital stay, number of laboratory tests, number of consultations, and number of imaging procedures. Patient satisfaction is improved.
CONCLUSIONS: Depending on design and setting, the introduction of clinical pathways may be a very promising method to improve the inpatient service at a hospital and so to react to the challenges of increasing competition in medical care.

Entities:  

Mesh:

Year:  2007        PMID: 17938782

Source DB:  PubMed          Journal:  Methods Inf Med        ISSN: 0026-1270            Impact factor:   2.176


  4 in total

1.  [Process optimization in ENT: clinical pathways and central induction area].

Authors:  O Göktas; F Fleiner; C Spies; H Krieg; K Bauer; B Sedlmaier
Journal:  HNO       Date:  2010-02       Impact factor: 1.284

2.  Triclosan-coated sutures reduce wound infections after hepatobiliary surgery--a prospective non-randomized clinical pathway driven study.

Authors:  Christoph Justinger; Jochen Schuld; Jens Sperling; Otto Kollmar; Sven Richter; Martin Karl Schilling
Journal:  Langenbecks Arch Surg       Date:  2011-04-01       Impact factor: 3.445

3.  Impact of postoperative pancreatic fistula on surgical outcome--the need for a classification-driven risk management.

Authors:  Andreas Schmid Frymerman; Jochen Schuld; Patrick Ziehen; Otto Kollmar; Christoph Justinger; Marco Merai; Sven Richter; Martin Karl Schilling; Mohammed Reza Moussavian
Journal:  J Gastrointest Surg       Date:  2010-01-22       Impact factor: 3.452

4.  Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study.

Authors:  Ali Fakhr-Movahedi; Mohsen Soleimani; Razeyeh Ghazvininejad; Mohammad Kazem Maher; Raheb Ghorbani
Journal:  Iran Red Crescent Med J       Date:  2015-09-01       Impact factor: 0.611

  4 in total

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