Pub Date : 2010-06-01DOI: 10.1258/jicp.2010.010005
B. Lakin, E. White, R. Appleton
Integrated care pathways are widely used for a range of medical and surgical conditions with the aim of providing a streamlined and unified approach to evidence-based care. They have been used for a number of years in the multidisciplinary management of adults with neurological conditions who are expected to require prolonged rehabilitation. Care pathways have been used in approximately 60 conditions at Alder Hey Children's Hospital over the past few years. This paper describes an experience of a care pathway for children with Guillain–Barré syndrome. As far as the authors are aware, this is the first care pathway to be used for children with a neurological disorder. Preliminary observations, which have yet to be formally audited, suggest that the pathway has benefited patient care and significantly improved patient documentation and interdisciplinary communication. It has also helped to reduce and minimize unnecessary variation from expected evidence-based management.
{"title":"An integrated care pathway for Guillain–Barré syndrome in children","authors":"B. Lakin, E. White, R. Appleton","doi":"10.1258/jicp.2010.010005","DOIUrl":"https://doi.org/10.1258/jicp.2010.010005","url":null,"abstract":"Integrated care pathways are widely used for a range of medical and surgical conditions with the aim of providing a streamlined and unified approach to evidence-based care. They have been used for a number of years in the multidisciplinary management of adults with neurological conditions who are expected to require prolonged rehabilitation. Care pathways have been used in approximately 60 conditions at Alder Hey Children's Hospital over the past few years. This paper describes an experience of a care pathway for children with Guillain–Barré syndrome. As far as the authors are aware, this is the first care pathway to be used for children with a neurological disorder. Preliminary observations, which have yet to be formally audited, suggest that the pathway has benefited patient care and significantly improved patient documentation and interdisciplinary communication. It has also helped to reduce and minimize unnecessary variation from expected evidence-based management.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"19 11-12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116699707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-06-01DOI: 10.1258/JICP.2010.010018
Dirk Blyweert
The pharmaceutical company Pfizer is supporting an international study on care pathways, being carried out by the European Pathway Association. Over the last few years, this pharmaceutical company has spent a substantial amount of money to make this study on care pathways possible. This international research as well as the contribution of Pfizer Belgium, also counts on the support of Pfizer Ireland, Portugal and Italy. Pfizer Belgium directors Kris Westelinck (Managing Director) and Peter Menu (Director Public Affairs and Policy) elucidate their plans, together with KU Leuven Professor Arthur Vleugels during an interview by Dirk Blyweert (independent journalist).
{"title":"Why the pharmaceutical industry is interested in research on care pathways","authors":"Dirk Blyweert","doi":"10.1258/JICP.2010.010018","DOIUrl":"https://doi.org/10.1258/JICP.2010.010018","url":null,"abstract":"The pharmaceutical company Pfizer is supporting an international study on care pathways, being carried out by the European Pathway Association. Over the last few years, this pharmaceutical company has spent a substantial amount of money to make this study on care pathways possible. This international research as well as the contribution of Pfizer Belgium, also counts on the support of Pfizer Ireland, Portugal and Italy. Pfizer Belgium directors Kris Westelinck (Managing Director) and Peter Menu (Director Public Affairs and Policy) elucidate their plans, together with KU Leuven Professor Arthur Vleugels during an interview by Dirk Blyweert (independent journalist).","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128986640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-06-01DOI: 10.1258/jicp.2010.010015
K. Vanhaecht, W. Sermeus, J. Peers, S. Deneckere, C. Lodewijckx, F. Leigheb, M. Panella
The European Quality of Care Pathway (EQCP) study is the first, international, cluster randomized controlled trial launched to study the effect of the implementation of care pathways and to study why and under what circumstances pathways work. The study will be performed in Belgium, Italy, Ireland and Portugal and will include individual studies: a trial including chronic obstructive pulmonary disease patients, a trial including proximal femur fracture patients and a trial focusing on multidisciplinary teamwork within both populations. The study is managed by the European Pathway Association in close collaboration with a multidisciplinary team of the Catholic University Leuven (Belgium), the University of Eastern Piedmont (Italy), the National School of Public Health Lisbon (Portugal) and the Health Services Executive in Dublin (Ireland). This paper will describe the history, project management and overall approach of this international study.
{"title":"The European Quality of Care Pathway (EQCP) Study: history, project management and approach","authors":"K. Vanhaecht, W. Sermeus, J. Peers, S. Deneckere, C. Lodewijckx, F. Leigheb, M. Panella","doi":"10.1258/jicp.2010.010015","DOIUrl":"https://doi.org/10.1258/jicp.2010.010015","url":null,"abstract":"The European Quality of Care Pathway (EQCP) study is the first, international, cluster randomized controlled trial launched to study the effect of the implementation of care pathways and to study why and under what circumstances pathways work. The study will be performed in Belgium, Italy, Ireland and Portugal and will include individual studies: a trial including chronic obstructive pulmonary disease patients, a trial including proximal femur fracture patients and a trial focusing on multidisciplinary teamwork within both populations. The study is managed by the European Pathway Association in close collaboration with a multidisciplinary team of the Catholic University Leuven (Belgium), the University of Eastern Piedmont (Italy), the National School of Public Health Lisbon (Portugal) and the Health Services Executive in Dublin (Ireland). This paper will describe the history, project management and overall approach of this international study.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115445192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-06-01DOI: 10.1258/jicp.2010.010010
M. Davies, A. Larner
The frontotemporal lobar degenerations (FTLDs) constitute one form of neurodegenerative dementia, which presents with behavioural or linguistic symptoms which often elude precise diagnosis in the early stages of disease, to the frustration of both patients and carers. Based on experiential data from patients and carers seen in both the voluntary care sector (the Alzheimer's Society) and a dedicated Cognitive Function Clinic over periods of 3 to 4 years, a provisional integrated care pathway for FTLDs has been developed which seeks to ensure timely diagnosis and access to appropriate care needs.
{"title":"Frontotemporal dementias: development of an integrated care pathway through an experiential survey of patients and carers","authors":"M. Davies, A. Larner","doi":"10.1258/jicp.2010.010010","DOIUrl":"https://doi.org/10.1258/jicp.2010.010010","url":null,"abstract":"The frontotemporal lobar degenerations (FTLDs) constitute one form of neurodegenerative dementia, which presents with behavioural or linguistic symptoms which often elude precise diagnosis in the early stages of disease, to the frustration of both patients and carers. Based on experiential data from patients and carers seen in both the voluntary care sector (the Alzheimer's Society) and a dedicated Cognitive Function Clinic over periods of 3 to 4 years, a provisional integrated care pathway for FTLDs has been developed which seeks to ensure timely diagnosis and access to appropriate care needs.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122480395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/jicp.2009.009009
T. Rotter, L. Kinsman, E. James, A. Machotta, H. Gothe, J. Kugler
Despite the high prevalence of clinical pathways (CPWs), the results from published studies are inconsistent and contradictory. The plethora of study designs, settings and lack of an agreed definition of a CPW make the relevance of individual studies difficult to apply to clinical settings. It was timely to catalogue and analyse the existing evidence base for CPWs via a rigorous systematic review. Systematic reviews and meta-analyses provide a high level of evidence for the effectiveness of interventions and are commonly employed reviewing strategies for addressing scientific questions in health-related research. This method is especially useful when research results are known to be inconsistent. Instead of conducting another primary evaluation, a detailed review is needed that reflects a summation of available research. This paper reports and discusses methodological and technical issues of a systematic review of the effectiveness of CPWs in hospitals, based on our experience with the Cochrane Effective Practice and Organisation of Care Group.
{"title":"The experience of conducting a Cochrane systematic review of the impact of clinical pathways on professional practice, patient outcomes, length of stay and hospital costs","authors":"T. Rotter, L. Kinsman, E. James, A. Machotta, H. Gothe, J. Kugler","doi":"10.1258/jicp.2009.009009","DOIUrl":"https://doi.org/10.1258/jicp.2009.009009","url":null,"abstract":"Despite the high prevalence of clinical pathways (CPWs), the results from published studies are inconsistent and contradictory. The plethora of study designs, settings and lack of an agreed definition of a CPW make the relevance of individual studies difficult to apply to clinical settings. It was timely to catalogue and analyse the existing evidence base for CPWs via a rigorous systematic review. Systematic reviews and meta-analyses provide a high level of evidence for the effectiveness of interventions and are commonly employed reviewing strategies for addressing scientific questions in health-related research. This method is especially useful when research results are known to be inconsistent. Instead of conducting another primary evaluation, a detailed review is needed that reflects a summation of available research. This paper reports and discusses methodological and technical issues of a systematic review of the effectiveness of CPWs in hospitals, based on our experience with the Cochrane Effective Practice and Organisation of Care Group.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121931437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/jicp.2009.009010
Ricard Rosique
Care pathways are excellent tools for quality management in health care concerning the standardization of care processes, as they promote organized and efficient patient care established on evidence-based practice. The implementation of a care pathway project at any health-care setting means a change of the organizational culture. E-pathways (electronic pathways) are strategic resources in order to get the successful implementation of a care pathway project. The concept of e-pathway is recent enough and there are some different experiences worldwide. In 2000, the first electronic pathways were implemented at Hospital de Mataró, in Barcelona, Spain. The benefits of using e-pathways (Eira Healthcare Server) are very clear at Hospital de Mataró: immediate records with no transcriptions, information in the palm of your hand, no prints, and rigour and reliability. Another recent and interesting experience is the development and introduction of e-pathways at Hospital General de l'Hospitalet, in Barcelona, Spain, using an SAP integrated health-care solution. The strategy planning of hospital managers should take into account the need and priority of any pathway project linked to e-pathways. Some experiences in Spain have proven that we do really need electronic support for pathways. Electronic pathways are a basic support and should not be postponed when implementing care pathways.
护理路径是医疗保健质量管理的优秀工具，涉及到护理过程的标准化，因为它们促进了基于循证实践的有组织和有效的患者护理。在任何卫生保健机构实施护理途径项目意味着改变组织文化。e路径(电子路径)是成功实施护理路径项目的战略资源。电子通道的概念是最近才出现的，世界范围内有一些不同的经验。2000年，西班牙巴塞罗那的Mataró医院实施了第一个电子通道。使用e-pathways (Eira医疗保健服务器)的好处在Hospital de Mataró非常明显:即时记录，无需转录，信息在您的手掌上，无需打印，以及严格和可靠。最近的另一个有趣的经验是，西班牙巴塞罗那的hospitalet总医院使用SAP集成医疗保健解决方案开发和引入了电子通道。医院管理者的战略规划应考虑到与电子途径相关的任何途径项目的需要和优先次序。西班牙的一些经验证明，我们确实需要电子途径的支持。电子途径是一种基本支持，在实施护理途径时不应推迟。
{"title":"Do we need electronic support for pathways: the Spanish experience","authors":"Ricard Rosique","doi":"10.1258/jicp.2009.009010","DOIUrl":"https://doi.org/10.1258/jicp.2009.009010","url":null,"abstract":"Care pathways are excellent tools for quality management in health care concerning the standardization of care processes, as they promote organized and efficient patient care established on evidence-based practice. The implementation of a care pathway project at any health-care setting means a change of the organizational culture. E-pathways (electronic pathways) are strategic resources in order to get the successful implementation of a care pathway project. The concept of e-pathway is recent enough and there are some different experiences worldwide. In 2000, the first electronic pathways were implemented at Hospital de Mataró, in Barcelona, Spain. The benefits of using e-pathways (Eira Healthcare Server) are very clear at Hospital de Mataró: immediate records with no transcriptions, information in the palm of your hand, no prints, and rigour and reliability. Another recent and interesting experience is the development and introduction of e-pathways at Hospital General de l'Hospitalet, in Barcelona, Spain, using an SAP integrated health-care solution. The strategy planning of hospital managers should take into account the need and priority of any pathway project linked to e-pathways. Some experiences in Spain have proven that we do really need electronic support for pathways. Electronic pathways are a basic support and should not be postponed when implementing care pathways.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114433339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/jicp.2009.009013
K. Vanhaecht, M. Panella, R. van Zelm, W. Sermeus
In this discussion and opinion paper, the Bureau members of the European Pathway Association present five challenges for the future of care pathways. Pathways will have to be based on the latest available evidence and international databases, and tools will have to be available. If pathways have a future, the organisations should focus on disease-specific oriented care. Evidence-based pathways, which are organised in a disease-specific oriented organisation, can lead to improvement of quality and efficiency but only if we invest in real teamwork. As a fourth challenge, the need for technical support of pathways is presented. The last piece of the future pathway puzzle is the need for patient involvement. Pathways will only lead to continuous improvement if we finally see patients as real partners in care organisation.
{"title":"Is there a future for pathways? Five pieces of the puzzle","authors":"K. Vanhaecht, M. Panella, R. van Zelm, W. Sermeus","doi":"10.1258/jicp.2009.009013","DOIUrl":"https://doi.org/10.1258/jicp.2009.009013","url":null,"abstract":"In this discussion and opinion paper, the Bureau members of the European Pathway Association present five challenges for the future of care pathways. Pathways will have to be based on the latest available evidence and international databases, and tools will have to be available. If pathways have a future, the organisations should focus on disease-specific oriented care. Evidence-based pathways, which are organised in a disease-specific oriented organisation, can lead to improvement of quality and efficiency but only if we invest in real teamwork. As a fourth challenge, the need for technical support of pathways is presented. The last piece of the future pathway puzzle is the need for patient involvement. Pathways will only lead to continuous improvement if we finally see patients as real partners in care organisation.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"32 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123224938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/jicp.2009.009012
Claire L Whittle
This report outlines how the Integrated Care Pathways Appraisal Tool (ICPAT) has been applied in the assessment of the content and quality of a selection of integrated care pathways in use in the United Kingdom.
{"title":"ICPAT: Integrated Care Pathways Appraisal Tool","authors":"Claire L Whittle","doi":"10.1258/jicp.2009.009012","DOIUrl":"https://doi.org/10.1258/jicp.2009.009012","url":null,"abstract":"This report outlines how the Integrated Care Pathways Appraisal Tool (ICPAT) has been applied in the assessment of the content and quality of a selection of integrated care pathways in use in the United Kingdom.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121898262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/JICP.2009.009014
M. Panella, K. Vanhaecht, W. Sermeus
This is the first issue of the International Journal of Care Pathways (IJCP) that has been edited by the European Pathway Association team. The European Pathway Association (ivzw) is an international not-for-profit association. The goal of our association is to perform international research, to organize international knowledge sharing, to support international collaboration and to advise policy-makers on care pathways. Therefore, in this issue, we have decided to focus on presenting different international experiences on care pathways inside and outside Europe. The articles in this issue of the IJCP originate from a conference that took place on 28 May 2009 in Leuven, Belgium, held to mark 10 years of care pathways in Belgium. The conference was a landmark in showing that the developments in care pathways, although still quite recent, are growing fast. Kathy Bower, principal and co-owner of the Center for Case Management in the USA, was one of the first keynote speakers, and talked about the very first beginnings of care pathways, 25 years ago, in the New England Medical Center (now Tufts Medical Center) in 1984. Their origin coincided with the onset of Diagnosis Related Groups (DRGs) in the USA as a method of cost-containment. DRGs were used to define homogeneous patient groups for which a prospective payment rate was set. It forced managers and clinicians to start organizing the care they were providing. In Belgium, research on care pathways began in 1996, mainly based on the experiences in the USA and in the meantime also in the UK. It was the basis for launching the Belgian–Dutch Clinical Pathway Network (www.nkp. be) in March 1999. The Network was defined as a knowledge-sharing network between academia and health-care facilities. The aim of the Network was to improve the effectiveness of developing, implementing and evaluating care pathways. The Network started with eight corporate members (all hospitals). In 2009, the number of members increased to up to more than 100 health-care organizations, broadening the scope from hospitals to home care organizations, rehabilitation centres and mental health organizations. The number of care pathways that are in development or up and running in these organizations has grown to more than 1000 different projects. The top of this list is led by conditions with a high predictive flow of care such as total hip and knee arthroplasty and normal delivery. But the list of conditions for which care pathways have been built is long and varies from simple to complex procedures, and high to low predictability. About 9% of all care pathways are crossing the boundary of their own organization, mainly in bridging the continuum between primary and secondary care. The Network in 2000 was mainly focusing on Flemish acute hospital care. As there was interest from the Netherlands and French-speaking Belgian hospitals, the Network looked for collaboration with the Dutch Institute for Quality improvement and the Université
{"title":"Care pathways: from clinical pathways to care innovation","authors":"M. Panella, K. Vanhaecht, W. Sermeus","doi":"10.1258/JICP.2009.009014","DOIUrl":"https://doi.org/10.1258/JICP.2009.009014","url":null,"abstract":"This is the first issue of the International Journal of Care Pathways (IJCP) that has been edited by the European Pathway Association team. The European Pathway Association (ivzw) is an international not-for-profit association. The goal of our association is to perform international research, to organize international knowledge sharing, to support international collaboration and to advise policy-makers on care pathways. Therefore, in this issue, we have decided to focus on presenting different international experiences on care pathways inside and outside Europe. The articles in this issue of the IJCP originate from a conference that took place on 28 May 2009 in Leuven, Belgium, held to mark 10 years of care pathways in Belgium. The conference was a landmark in showing that the developments in care pathways, although still quite recent, are growing fast. Kathy Bower, principal and co-owner of the Center for Case Management in the USA, was one of the first keynote speakers, and talked about the very first beginnings of care pathways, 25 years ago, in the New England Medical Center (now Tufts Medical Center) in 1984. Their origin coincided with the onset of Diagnosis Related Groups (DRGs) in the USA as a method of cost-containment. DRGs were used to define homogeneous patient groups for which a prospective payment rate was set. It forced managers and clinicians to start organizing the care they were providing. In Belgium, research on care pathways began in 1996, mainly based on the experiences in the USA and in the meantime also in the UK. It was the basis for launching the Belgian–Dutch Clinical Pathway Network (www.nkp. be) in March 1999. The Network was defined as a knowledge-sharing network between academia and health-care facilities. The aim of the Network was to improve the effectiveness of developing, implementing and evaluating care pathways. The Network started with eight corporate members (all hospitals). In 2009, the number of members increased to up to more than 100 health-care organizations, broadening the scope from hospitals to home care organizations, rehabilitation centres and mental health organizations. The number of care pathways that are in development or up and running in these organizations has grown to more than 1000 different projects. The top of this list is led by conditions with a high predictive flow of care such as total hip and knee arthroplasty and normal delivery. But the list of conditions for which care pathways have been built is long and varies from simple to complex procedures, and high to low predictability. About 9% of all care pathways are crossing the boundary of their own organization, mainly in bridging the continuum between primary and secondary care. The Network in 2000 was mainly focusing on Flemish acute hospital care. As there was interest from the Netherlands and French-speaking Belgian hospitals, the Network looked for collaboration with the Dutch Institute for Quality improvement and the Université","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125784329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-01DOI: 10.1258/jicp.2009.009011
M. Gambles, T. McGlinchey, J. Aldridge, D. Murphy, J. Ellershaw
In order to illustrate the usefulness of a continuous quality improvement approach in care of the dying, this paper focuses on the process and outcomes of the first National Care of the Dying Audit in Hospitals in England. One hundred and eighteen individual hospitals delivering care to patients in the last hours and days of their lives using the Liverpool Care Pathway for the Dying Patient participated in the audit and provided 2672 patient datasets. The results illustrate both that important information can be gained about care delivery using this method and that the opportunity to engage in formal and collaborative reflection, discussion and action planning is useful in promoting continuous quality improvement. This process is likely not only to be of interest to clinicians working in the field but also to managers and planners striving to ensure continuous quality improvement for patients and carers and to inform the process of benchmarking for the future.
{"title":"Continuous quality improvement in care of the dying with the Liverpool Care Pathway for the Dying Patient","authors":"M. Gambles, T. McGlinchey, J. Aldridge, D. Murphy, J. Ellershaw","doi":"10.1258/jicp.2009.009011","DOIUrl":"https://doi.org/10.1258/jicp.2009.009011","url":null,"abstract":"In order to illustrate the usefulness of a continuous quality improvement approach in care of the dying, this paper focuses on the process and outcomes of the first National Care of the Dying Audit in Hospitals in England. One hundred and eighteen individual hospitals delivering care to patients in the last hours and days of their lives using the Liverpool Care Pathway for the Dying Patient participated in the audit and provided 2672 patient datasets. The results illustrate both that important information can be gained about care delivery using this method and that the opportunity to engage in formal and collaborative reflection, discussion and action planning is useful in promoting continuous quality improvement. This process is likely not only to be of interest to clinicians working in the field but also to managers and planners striving to ensure continuous quality improvement for patients and carers and to inform the process of benchmarking for the future.","PeriodicalId":114083,"journal":{"name":"International Journal of Care Pathways","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132783563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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