Critical pathway: Difference between revisions
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imported>Robert Badgett (New page: In health care, '''critical pathways''' are "schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, co...) |
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In [[health care]], '''critical pathways''' are "schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment."<ref>{{MeSH}}</ref><ref name="pmid10691588">{{cite journal| author=Morris AH| title=Developing and implementing computerized protocols for standardization of clinical decisions. | journal=Ann Intern Med | year= 2000 | volume= 132 | issue= 5 | pages= 373-83 | pmid=10691588 | In [[health care]], '''critical pathways''' are "schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment."<ref>{{MeSH}}</ref><ref name="pmid10691588">{{cite journal| author=Morris AH| title=Developing and implementing computerized protocols for standardization of clinical decisions. | journal=Ann Intern Med | year= 2000 | volume= 132 | issue= 5 | pages= 373-83 | pmid=10691588 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=10691588 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=10691588 }}</ref><ref name="pmid7486490">{{cite journal| author=Pearson SD, Goulart-Fisher D, Lee TH| title=Critical pathways as a strategy for improving care: problems and potential. | journal=Ann Intern Med | year= 1995 | volume= 123 | issue= 12 | pages= 941-8 | pmid=7486490 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=7486490 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=7486490 }}</ref> | ||
==Effectiveness== | ==Effectiveness== | ||
A critical pathway may improve the outcomes of [[pneumonia]]<ref name="pmid10683053">{{cite journal |author=Marrie TJ, Lau CY, Wheeler SL, Wong CJ, Vandervoort MK, Feagan BG |title=A controlled trial of a critical pathway for treatment of community-acquired pneumonia. CAPITAL Study Investigators. Community-Acquired Pneumonia Intervention Trial Assessing Levofloxacin |journal=JAMA |volume=283 |issue=6 |pages=749-55 |year=2000 |pmid=10683053 |doi=}}</ref>, chest pain<ref name="pmid12117399">{{cite journal| author=Reilly BM, Evans AT, Schaider JJ, Das K, Calvin JE, Moran LA et al.| title=Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department. | journal=JAMA | year= 2002 | volume= 288 | issue= 3 | pages= 342-50 | pmid=12117399 | "Clinical pathways are associated with reduced in-hospital complications and improved documentation without negatively impacting on length of stay and hospital costs." according to a [[meta-analysis]] by the [[Cochrane Collaboration]].<ref name="pmid20238347">{{cite journal| author=Rotter T, Kinsman L, James E, Machotta A, Gothe H, Willis J et al.| title=Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. | journal=Cochrane Database Syst Rev | year= 2010 | volume= | issue= 3 | pages= CD006632 | pmid=20238347 | doi=10.1002/14651858.CD006632.pub2 | pmc= | url= }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20713779 Review in: Ann Intern Med. 2010 Aug 17;153(4):JC2-12] </ref> | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=12117399 }} | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=9412306 }} | As examples, a critical pathway may improve the outcomes of [[pneumonia]]<ref name="pmid10683053">{{cite journal |author=Marrie TJ, Lau CY, Wheeler SL, Wong CJ, Vandervoort MK, Feagan BG |title=A controlled trial of a critical pathway for treatment of community-acquired pneumonia. CAPITAL Study Investigators. Community-Acquired Pneumonia Intervention Trial Assessing Levofloxacin |journal=JAMA |volume=283 |issue=6 |pages=749-55 |year=2000 |pmid=10683053 |doi=}}</ref>, chest pain<ref name="pmid12117399">{{cite journal| author=Reilly BM, Evans AT, Schaider JJ, Das K, Calvin JE, Moran LA et al.| title=Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department. | journal=JAMA | year= 2002 | volume= 288 | issue= 3 | pages= 342-50 | pmid=12117399 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=15495038 | doi=10.1002/14651858.CD002924.pub2 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=12117399 }}</ref><ref name="pmid9412306">{{cite journal| author=Nichol G, Walls R, Goldman L, Pearson S, Hartley LH, Antman E et al.| title=A critical pathway for management of patients with acute chest pain who are at low risk for myocardial ischemia: recommendations and potential impact. | journal=Ann Intern Med | year= 1997 | volume= 127 | issue= 11 | pages= 996-1005 | pmid=9412306 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=9412306 }}</ref>, and maybe [[stroke]]<ref name="pmid15495038">{{cite journal| author=Kwan J, Sandercock P| title=In-hospital care pathways for stroke. | journal=Cochrane Database Syst Rev | year= 2004 | volume= | issue= 4 | pages= CD002924 | pmid=15495038 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=15495038 | doi=10.1002/14651858.CD002924.pub2 }} </ref>. | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 11:37, 7 April 2011
In health care, critical pathways are "schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment."[1][2][3]
Effectiveness
"Clinical pathways are associated with reduced in-hospital complications and improved documentation without negatively impacting on length of stay and hospital costs." according to a meta-analysis by the Cochrane Collaboration.[4]
As examples, a critical pathway may improve the outcomes of pneumonia[5], chest pain[6][7], and maybe stroke[8].
References
- ↑ Anonymous (2024), Critical pathway (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Morris AH (2000). "Developing and implementing computerized protocols for standardization of clinical decisions.". Ann Intern Med 132 (5): 373-83. PMID 10691588.
- ↑ Pearson SD, Goulart-Fisher D, Lee TH (1995). "Critical pathways as a strategy for improving care: problems and potential.". Ann Intern Med 123 (12): 941-8. PMID 7486490.
- ↑ Rotter T, Kinsman L, James E, Machotta A, Gothe H, Willis J et al. (2010). "Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs.". Cochrane Database Syst Rev (3): CD006632. DOI:10.1002/14651858.CD006632.pub2. PMID 20238347. Research Blogging. Review in: Ann Intern Med. 2010 Aug 17;153(4):JC2-12
- ↑ Marrie TJ, Lau CY, Wheeler SL, Wong CJ, Vandervoort MK, Feagan BG (2000). "A controlled trial of a critical pathway for treatment of community-acquired pneumonia. CAPITAL Study Investigators. Community-Acquired Pneumonia Intervention Trial Assessing Levofloxacin". JAMA 283 (6): 749-55. PMID 10683053. [e]
- ↑ Reilly BM, Evans AT, Schaider JJ, Das K, Calvin JE, Moran LA et al. (2002). "Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department.". JAMA 288 (3): 342-50. PMID 12117399.
- ↑ Nichol G, Walls R, Goldman L, Pearson S, Hartley LH, Antman E et al. (1997). "A critical pathway for management of patients with acute chest pain who are at low risk for myocardial ischemia: recommendations and potential impact.". Ann Intern Med 127 (11): 996-1005. PMID 9412306.
- ↑ Kwan J, Sandercock P (2004). "In-hospital care pathways for stroke.". Cochrane Database Syst Rev (4): CD002924. DOI:10.1002/14651858.CD002924.pub2. PMID 15495038. Research Blogging.