نتایج جستجو برای: clinical pathways
تعداد نتایج: 1380514 فیلتر نتایج به سال:
This article represents an important contribution to the field of implementation research and practice. However, the authors make claims about the nature of their review process that are not entirely substantiated. First, the authors suggest that their review is based on a meta-narrative approach. This approach is recommended when 'there is complex evidence.... in a challenging methodological a...
BACKGROUND Clinical pathways (CPs) are used to improve the outcomes of acute stroke, but their use in stroke care is questionable, because the evidence on their effectiveness is still inconclusive. The objective of this study was to evaluate whether CPs improve the outcomes and the quality of care provided to patients after acute ischemic stroke. METHODS This was a multicentre cluster-randomi...
Clinical Pathways: An Overview The term clinical pathway refers to a multidisciplinary process of mutual decision-making that results in the organized care of a well-defined group of patients during a well-defined period of time.[1, 2] Clinical pathways were first introduced in the 1980’s when escalating medical costs pressured physicians to decrease resource utilization without jeopardizing pa...
BACKGROUND A clinical pathway (CP) can standardize and improve perioperative care for a number of interventions. In hepatic surgery, however, pertinent evidence is very limited. This study was conducted to implement a CP for hepatocellular carcinoma (HCC) patients undergoing hepatectomy, and to evaluate its effects on hospital costs, length of hospital stay (LOHS) and early clinical outcomes. ...
OBJECTIVES The aim of this study was to evaluate one-stop surgery (OSS) for carpal tunnel syndrome (CTS) regarding symptom relief and patient satisfaction. OSS in our setting means only one visit to the hospital for surgery and no hospital appointments for preassessment or follow-up. We hypothesised that relief of symptoms with OSS is comparable with that in non-OSS patients reported in the lit...
INTRODUCTION AND OBJECTIVE This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods applied, highlighting the novel features o...
BACKGROUND Oxygen is commonly administered to patients in hospital, but prescribing and monitoring of such therapy may be suboptimal. The objective of this study was to develop, disseminate, implement and evaluate a multidisciplinary clinical pathway for the administration of oxygen. METHODS The authors developed a clinical pathway for the ordering, titration and discontinuation of oxygen, wh...
BACKGROUND Clinical pathways (CP) are comprehensive systematized patient care plans for specific procedures. The CP for morbid obesity was implemented in our department in September 2005. The aim of this study is to evaluate the clinical pathway for this procedure 1 year after implementation. METHODS A study was conducted on all the patients included in the CP since its implementation. The as...
BACKGROUND The development of a patient-reported outcome measure (PROM) for polymyalgia rheumatica (PMR), a condition that causes pain, stiffness and disability, is necessary as there is no current validated disease-specific measure. Initial literature synthesis and qualitative research established a conceptual framework for the condition along with a list of symptoms and effects of PMR that pa...
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