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Care pathways and the Allied Health Professional
Published in Robert Jones, Fiona Jenkins, Penny Humphris, Jim Easton, Key Tools and Techniques in management and leadership of the Allied Health Professions, 2021
A care pathway contains a number of different elements, including planning and implementation, followed by ongoing review. The equivalent to pathways in industry would be called by other names, possibly a combination of good practice, quality control, plus a large portion of ongoing quality improvement and design modification. In healthcare, a care pathway is viewed as a multidisciplinary outline of anticipated care. However, confusingly there is no single agreed definition of an ICP. A number of definitions have been in use since the late 1990s. Some confusion has been created because they all link ICPs directly to patient groupings or case types. A single ICP rarely covers the full span of a patient ‘journey’ for a particular condition; the patient’s care plan is commonly built up from a group of pathways, each of which describe a component or phase of the care for example an admission or assessment phase, a set of interventions. and a discharge phase.
Macroergonomics of Patient Work
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Pascale Carayon, Armagan Albayrak, Richard Goossens, Peter Hoonakker, Bat-Zion Hose, Michelle M. Kelly, Marijke Melles, Megan E. Salwei
A patient journey is a visual representation of the distributed healthcare system that a patient is part of. It includes the different stages of a care pathway and the different factors that affect the patient experience, directly or indirectly, during their journey. Activities in time or interactions of the actors in the system are referred to as “touchpoints.” The emotions of patients along their journey are also mapped to gain insight into how patients experience their care throughout the journey. Reviewing emotions and touchpoint opportunities can provide useful insights for improving the distributed healthcare system.
The legal aspects of care pathways
Published in Kathryn de Luc, Denise Kitchiner, Amanda Layton, Elaine Morris, Yvonne Murray, Sue Overill, Developing Care Pathways, 2018
Kathryn de Luc, Denise Kitchiner, Amanda Layton, Elaine Morris, Yvonne Murray, Sue Overill
Care pathways can create a benchmark for healthcare provision for a particular organisation or group of organisations. A care pathway describes how you propose to deal with a particular group of patients/users. In this situation, it is important that any variation or digression from the care pathway is recorded, along with the reasons why. These data should be systematically analysed. In this way, the care pathway can be used in support of a particular treatment pattern (on the basis that one cannot remember every patient/user).
Developing a stroke-vision care pathway: a consensus study
Published in Disability and Rehabilitation, 2022
Fiona J. Rowe, Lauren R. Hepworth, Claire Howard, Kerry L. Hanna, Brinton Helliwell
There are issues with how best to identify the presence of visual impairment through stroke team vision screening and specialist vision assessment [10]. Even with screening measures in place, there are also issues reported with the provision of care and access to vision services for stroke survivors who have been identified as having vision problems [11]. One way of improving access to appropriate vision services is to implement the use of care pathways. A care pathway has been defined as “a complex intervention for the mutual decision-making and organisation of care processes for a well-defined group of patients during a well-defined period…The aim of a care pathway is to enhance the quality of care across the continuum by improving risk-adjusted patient outcomes, promoting patient safety, increasing patient satisfaction, and optimising the use of resources” [12].
Safety of Accelerated Recovery on a Cardiology Ward and Early Discharge Following Minimalist TAVR in the Catheterization Laboratory: The Vancouver Accelerated Recovery Clinical Pathway
Published in Structural Heart, 2019
Janarthanan Sathananthan, John G Webb, Jopie Polderman, Leslie Achtem, Mark Hensey, Dale Murdoch, Robert Moss, Alyssa Shook, Simon Bruce, Philipp Blanke, Carrie Bancroft, Holly Andrews, Jonathon Leipsic, David Wood, Sandra Lauck
The value of a clinical care pathway has been established in patient care to improve quality of care and health services, adherence to guidelines, and improved clinical outcomes.11,12 This early experience in our study has demonstrated that the Vancouver accelerated recovery clinical pathway can be implemented safely with the majority of patients achieving early discharge. In this selective population, 30-day outcomes and early discharge rates were superior to other contemporary trials and registries.13–16 The Vancouver accelerated recovery clinical pathway builds on our center’s earlier work which was validated in the 3M TAVR study. This multicenter trial of 411 patients demonstrated that the Vancouver clinical pathway can be implemented with low 30-day mortality (1.5%) and stroke (1.5%), and a high proportion of next-day discharge (80.1%).17 Importantly, the 3M TAVR study also demonstrated that the Vancouver clinical pathway could be implemented in new centers with limited prior experience.
Development of Care Pathways to Standardize and Optimally Integrate Multidisciplinary Care for Head and Neck Cancer
Published in Oncology Issues, 2018
Assuntina G. Sacco, Charles S. Coffey, Parag Sanghvi, Gloria P. Rubio, Joseph Califano, Jayna Athas, Geline J. Tamayo, Kristen Linnemeyer, Linda C. Barnachea, Ryan K. Orosco, Kevin T. Brumund, Ezra E.W. Cohen, Kathryn Gold, Loren K. Mell, Andrew Sharabi, Gregory A. Daniels, Yuko Abbott, Resenia Collins, Katrina Clynch, Montserrat Noboa, Liza Blumenfeld
Though integration of multidisciplinary care may seem germane to the provision of curative head and neck cancer care, numerous implementation barriers such as insufficient facilities, lack of standardization, time constraints, and poorly developed interprofessional relationships have raised questions about its efficacy and value.22 To overcome these barriers, Vanhaecht et al. defined care pathway as “a complex intervention for the mutual decision-making and organization of care processes for a well-defined group of patients during a well-defined period.”23 Care pathways have been clinically integrated for numerous healthcare conditions within the United States and abroad. Published benefits of care pathways include reduced lengths of hospital stay, reduced hospital costs, and improved patient outcomes with reduced complications.24,25 This integrated model eliminates fragmentation, providing a structured, reproducible method for administering multidisciplinary care to individuals with a specific medical condition. Care pathways have been proposed as a way to translate evidence-based practice and published national guidelines into an organization's care delivery model. Care pathways also carry the opportunity to hard-wire consistency and efficacious methodology in the provision of head and neck cancer care. Growth in the multidisciplinary head and neck cancer team at our Head and Neck Center of Excellence provided an opportune time to develop and implement care pathway methodology.