Journal ArticleDOI
Integrated care pathways
TLDR
The system offers a set of guiding principles, based on the fact that, because knowledge and practice change continually when caring for patients, clinical records should be flexible and dynamic to accommodate these changes.Abstract:
Integrated care pathways (ICPs) offer a system of multidisciplinary care planning based around the principle of clinical audit and on the knowledge and practice of local clinical staff. The system offers a set of guiding principles, based on the fact that, because knowledge and practice change continually when caring for patients, clinical records should be flexible and dynamic to accommodate these changes. Benefits to be gained from implementing ICPs include improvements in communication between all disciplines involved, as well as between patients and carers. Optimal levels of free text are ensured through the pre-printed record having an outcomes-based focus and through incorporating the idea of exception-based recording. Issues to be considered include individuality and confidentiality. Benefits to be gained include increased patient satisfaction, a reduction in documentation and inappropriate lengths of stay.read more
Citations
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Journal ArticleDOI
Continuity of care: a multidisciplinary review
Jeannie L. Haggerty,Robert J. Reid,George Freeman,Barbara Starfield,Carol E. Adair,Rachael McKendry +5 more
TL;DR: The aim was to develop a common understanding of the concept of continuity as a basis for valid and reliable measurement of practice in different settings.
Journal ArticleDOI
Integrated care pathways
TL;DR: The degree to which integrated care pathways succeed in realising their potential for improving patient care is still uncertain, but enough evidence exists in their favour to justify more widespread evaluation of their impact.
Journal ArticleDOI
Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs
Thomas Rotter,Leigh Kinsman,Erica L. James,Andreas Machotta,Holger Gothe,Jon Willis,Pamela Claire Snow,Joachim Kugler +7 more
TL;DR: Clinical pathways are associated with reduced in-hospital complications and improved documentation without negatively impacting on length of stay and hospital costs.
Journal ArticleDOI
Integration and collaboration in public health—a conceptual framework
TL;DR: A theoretical reconstruction based on published research on inter-organisational integration in public health and related welfare services is attempted, which suggests that an organisation is fragile and volatile, which means that it needs a lot of management support in order to survive.
Journal ArticleDOI
Reducing clinical variations with clinical pathways: do pathways work?
TL;DR: The results demonstrated that it is possible to achieve the overall purpose of clinical pathways to improve outcome by providing a mechanism to coordinate care and to reduce fragmentation, and ultimately cost.
References
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Journal ArticleDOI
Integrated Care Pathways: effective tools for continuous evaluation of clinical practice
TL;DR: Implementing Integrated Care Pathways facilitates the introduction of guidelines and the continuous evaluation of clinical practice, and provides a powerful audit tool, as all aspects of the process and outcome ofclinical practice can be constantly monitored.
Journal ArticleDOI
Integrated care pathways.
Denise Kitchiner,Peter Bundred +1 more
TL;DR: Integrated care pathways specify and evaluate clinical practice and can improve patient care and exchange of information between health professionals using similar pathways can be extremely valuable to improve and extend the use of pathways.
Journal ArticleDOI
Critical care pathway development: the way forward.
Andy Wigfield,Elizabeth Boon +1 more
TL;DR: The reasons why pathways were developed at the Guy's and St Thomas' Trust, and the stages of development before their introduction, are discussed.
Journal Article
Hospital provider satisfaction with a new documentation system.
TL;DR: An evaluation of hospital staff satisfaction with a recently implemented documentation system showed that 70% are satisfied with the new system and 75% agree that consistency of nursing documentation has improved.
Journal ArticleDOI
A study of complaints by patients of different age groups in an NHS trust.
TL;DR: The study found that older patients were twice as likely to complain to the unit as younger patients, and the majority of complaints from both age groups specified poor attitudes and communication of staff, and inadequate care.