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PATIENT PATHWAYS (patient + pathway)

Distribution by Scientific Domains
Medical Sciences75%

Selected Abstracts

DEVELOPMENT OF PATIENT PATHWAYS FOR THE SURGICAL MANAGEMENT OF BURN INJURY

ANZ JOURNAL OF SURGERY, Issue 9 2006
John E. Greenwood
Background: There are many reasons for the development of patient pathways in burn surgery introduced at the Royal Adelaide Hospital in South Australia at the beginning of January 2005. These include education, standardization of technique, scheduling of surgical episodes and rationalization of the use of expensive therapies. Methods: A critical appraisal of both evidence based on published work and personal/peer experience has been used to generate the current pathways. Results: The year 2005 was the busiest in the history of the hospital, both in numerical terms and in the proportion of major burn injuries. These protocols were effective in enabling us to cope with negligible mortality. Conclusion: Although the first draft pathways work in our unit, they will undergo regular audit. It is hoped that they will form a template that can assist other services to create their own pathways. [source]

British Association of Critical Care Nurses position statement on prescribing in critical care

NURSING IN CRITICAL CARE, Issue 5 2009
Kate Bray
ABSTRACT Background: Nurses in the UK are now one group of non-medical staff who can prescribe. This practice is evolving for critical care nursing staff who care for critically ill patients during their stay in hospital through ward and outpatient follow-up after admission to critical care. Aim: The purposes of this paper were to present existing information regarding prescribing to support nurses in critical care currently prescribing and to inform those who are intending to prescribe. Methods: To develop the position statement, a search of the literature was conducted using key databases. To ascertain the current level and type of prescribing in critical care, a short questionnaire was sent by email to British Association of Critical Care Nursing members, and the results of this are presented in Appendix A. Outcomes/Results: Evidence was found in relation to the history, context in critical care, educational requirements and issues of consent related to non-medical prescribing. Conclusions: The position statement is based upon evidence from the literature, National Health Service policy and the Nursing and Midwifery Council regulations. It takes account of the critical care patient pathway before, during and after an admission to critical care. [source]

DEVELOPMENT OF PATIENT PATHWAYS FOR THE SURGICAL MANAGEMENT OF BURN INJURY

ANZ JOURNAL OF SURGERY, Issue 9 2006
John E. Greenwood
Background: There are many reasons for the development of patient pathways in burn surgery introduced at the Royal Adelaide Hospital in South Australia at the beginning of January 2005. These include education, standardization of technique, scheduling of surgical episodes and rationalization of the use of expensive therapies. Methods: A critical appraisal of both evidence based on published work and personal/peer experience has been used to generate the current pathways. Results: The year 2005 was the busiest in the history of the hospital, both in numerical terms and in the proportion of major burn injuries. These protocols were effective in enabling us to cope with negligible mortality. Conclusion: Although the first draft pathways work in our unit, they will undergo regular audit. It is hoped that they will form a template that can assist other services to create their own pathways. [source]

Information and communication technology for process management in healthcare: a contribution to change the culture of blame

JOURNAL OF SOFTWARE MAINTENANCE AND EVOLUTION: RESEARCH AND PRACTICE, Issue 6-7 2010
Silvana Quaglini
Abstract Statistics on medical errors and their consequences has astonished, during the previous years, both healthcare professionals and ordinary people. Mass-media are becoming more and more sensitive to medical malpractices. This paper elaborates on the well-known resistance of the medical world to disclose actions and processes that could have caused some damages; it illustrates the possible causes of medical errors and, for some of them, it suggests solutions based on information and communication technology. In particular, careflow management systems and process mining techniques are proposed as a means to improve the healthcare delivery process: the former by facilitating task assignments and resource management, the latter by discovering not only individuals' errors, but also the chains of responsibilities concurring to produce errors in a complex patient's pathway. Both supervised and unsupervised process mining will be addressed. The former compares real processes with a known process model (e.g., a clinical practice guideline or a medical protocol), whereas the latter mines processes from raw data, without imposing any model. The potentiality of these techniques is illustrated by means of examples from stroke patient management. Copyright © 2010 John Wiley & Sons, Ltd. [source]