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Clinical Pathway

This document outlines a clinical pathway prepared by Ahmed Hamdi under the supervision of Professor Merfet Anwar. It defines clinical pathways as a way to analyze costs, reduce variation, and improve clinical quality. The purpose of clinical pathways is to enhance care quality, improve patient outcomes, promote safety, and increase satisfaction. Key elements include the patient population, time frames, interventions, and defined outcomes. Barriers to implementation include lack of involvement and flexibility, while facilitators are staff training and process/outcome measures. Examples given are pathways for efficient PPE and ICU device use, effective triage, and end-of-life care.

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148 views15 pages

Clinical Pathway

This document outlines a clinical pathway prepared by Ahmed Hamdi under the supervision of Professor Merfet Anwar. It defines clinical pathways as a way to analyze costs, reduce variation, and improve clinical quality. The purpose of clinical pathways is to enhance care quality, improve patient outcomes, promote safety, and increase satisfaction. Key elements include the patient population, time frames, interventions, and defined outcomes. Barriers to implementation include lack of involvement and flexibility, while facilitators are staff training and process/outcome measures. Examples given are pathways for efficient PPE and ICU device use, effective triage, and end-of-life care.

Uploaded by

gehad mohamed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Under supervision

Prof Dr/ Merfet Anwar


Clinical Pathway Professor of Critical Care Nursing- Faculty of nursing
Assuit university

Prepared by
Ahmed Hamdi
Introduction.

Definition.

Aim/ purpose of clinical pathway

-:Outlines Elements of clinical pathway

Phases of clinical pathway

Barrier and facilitators of clinical pathway

Examples of clinical pathway


Introduction
Clinical pathway is the heart of quality and
patient safety. It is of major importance to
guide multidisciplinary teams- including
.clinicians, managers and patients
Many hospitals, managed care facilities and
home health services nationwide use clinical
pathways or care mapping to coordinate care
for a caseload of patients
Clinical Pathway

Clinical pathways as a way to


analyze costs, reduce variation,
.and Improve clinical quality
Aim/ purpose of Clinical pathways
Enhance the quality of care across the continuum of care.
Improving patient outcomes by providing a mechanism to coordinate
care.
Promoting patient safety.
Increasing patient satisfaction, and integration of knowledge, skills,
and experience of the nurse.
Optimize outcomes of the patient, family, nurse, and hospital
system.
Standardize important aspects of care.
Reduce unnecessary delays in care.
Reduce costs
Elements of clinical pathway

Patient Population: Covering patient groups in the treatment


and recovery is relatively predictable.

Time Frames: The identified time frame may be minutes,


hours, days, weeks, or phases. Conditions requiring emergency
treatment (myocardial infarction, head injury, stroke) might be
divided into 15-minute intervals.
 Interventional Categories: Interventional categories consist of
the groups of activities that make up a comprehensive treatment
plan as medications, blood tests, procedures, and Consultations.
 Outcomes: Defined outcomes provide the focus for patient care
activities. All well-written pathways include outcomes identified
for each time interval
 Variance Record: Variance is defined as any deviation from the
pathway
Phases of Clinical pathways
Evaluate current practices.
Choose a clinical condition
Define the guidelines that must be incorporated
into the pathway
Map the care pathway.
Define the target outcomes.
Engage your team.
Implement and evaluate the efficiency and
effectiveness of the care pathway.
Barriers and Facilitators to 
Implementation

Barriers Facilitators
- Lack staff involvement Clinical and management -
Active resistance due to - staff involvement
lack of involvement Staff training Allow for -
Lack awareness Time - flexibility
constraint Insufficient staff Process and outcome -
.Increased cost measures Provide
-Poor imbursement - • reimbursement
Efficient supply and utilization of personal
protective equipment
Efficient supply and utilization of ICU
devices, consumables, and pharmaceuticals
More effective ICU triage
Better end-of-life care
Reimagining communication with families
References
 Smeltzer O. S., Bare G. B., (2013), Brunner & Suddarth’s Textbook of
Medical- Surgical Nursing, chapter 1, appendix A, page 35 and 2192-
2203.
 Mohamed et al., (August 2018), Effect of Modified Clinical Pathway
Guidelines on Congestive Heart Failure Patient’s satisfaction at Coronary
Care Unit, Assiut Scientific Nursing Journal, Volume , (6) No , (14) , page
9.
 Flores E., et al., (December 2018), Use of a Clinical Pathway To
Facilitate the Translation and Utilization of AHRQ EPC Report Findings,
Methods Research Report, A gency for Healthcare Research and Quality,
U.S. Department of Health and Human Services, page 7.
 RobertsS. M., ( 2016), development and implementation of clinical
pathways: reducing variation to improve patient outcomes, caitlin colkitt
, university of pittsburgh, graduate school of public health, page 4-10.

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