DESIGN STANDARD IN HEALTH CARE TO FOLLOW OR NOT? AN INSIGHT FROM CLINICAL PATHWAY

Authors

  • Rania Hussien Al-Ashwal aAdvanced Diagnostics and E-Health Research Group, Biotechnology Research Alliance, Clinical Science Department, Faculty of Biosciences and Medical Engineering, University Technology Malaysia, 81310 UTM Johor Bahru, Johor, Malaysia
  • Eko Supriyanto IJN-UTM Cardiovascular Engineering Centre, Clinical Science Department, Faculty of Biosciences and Medical Engineering, University Technology Malaysia, 81310 UTM Johor Bahru, Johor, Malaysia
  • Hananto Andriantoro Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia

DOI:

https://doi.org/10.11113/jt.v78.9608

Keywords:

STEMI Clinical Pathway, quality indicators, standard compliance

Abstract

Clinical pathway is a management tool utilized in hospitals in order to reduce variation in medical care as well as control health quality. Poor adherence to the clinical pathway documents most probably leads to deficiency in quality of care. This paper presents the result of an investigation for the role of clinical pathway document component (design) on the use of the clinical pathway tool in practice. We checked the content of three clinical pathway designs using the Integrated Care Pathway Appraisal Tool (ICPAT). Negative correlation between the compliance to ICPAT indicators and the completeness of third clinical pathway design has been obtained. Standard criteria in designing clinical pathway shows discrepancy which might be due to reluctances among the users to follow the lengthy procedure. In conclusion, user’s preferences need to be considered for more practical use of clinical pathway beside the standard documentation perfection in order to achieve its objectives. 

References

L. Kinsman, T. Rotter, E. James, P. Snow, and J. Willis. 2010. What Is A Clinical Pathway? Development Of A Definition To Inform The Debate. BMC Med. 8-10.

E-P-A. 2011. Clinical Pathway Definition. http://e-p-a.org.

Aniza Ismail, Saperi Sulung, Syed Mohamed AlJunid, Nor Hamdan Mohd Yahaya, Husyairi Harunarashid, Oteh Maskon, Andrea Ban, Roslan Harun, Ismail Mohd. Saiboon, Ikafaizura Mohd. 2012. Clinical Pathways : Development and Implementation at a Tertiary Hospital in Malaysia. Int. J. Public Heal. Res. 2(2): 153-160.

D. Lynne Currie. 1999. Researching Care Pathway Developmrs. 4(5): 378-384.

S. Pearson, I. Moraw, and G. J. Maddern. 2000. Clinical Pathway Management Of Total Knee Arthroplasty: A Retrospective Comparative Study. Aust. N. Z. J. Surg. 70(5): 351-354.

O. Bouhaddou, T. Cromwell, M. Davis, S. Maulden, N. Hsing, D. Carlson, J. Cockle, C. Hoang, and L. Fischetti. 2012. Translating Standards Into Practice: Experience And Lessons Learned At The Department of Veterans Affairs. J. Biomed. Inform. 45(4): 813-823.

K. De Luc. 2000. Are Different Models Of Care Pathways Being Developed? Int. J. Health Care Qual. Assur. 13(2): 80-87.

K. E. de Luc and C. Whittle. 2002. An Integrated Care Pathway Appraisal Tool: A ‘Badge of Quality. J. Integr. Pathways. 6(1): 130-17.

A. Donabedian. 1966. Evaluating The Quality Of Medical Care. Milbank Mem. Fund Q. 83(4): 691-729.

a Donabedian. 1997. The Quality Of Care. How Can It Be Assessed? JAMA. 260(12): 1743-1748.

A. Donabedian. 2005. Evaluating the Quality of Medical Care. Milbank Q. 83(4): 691-729.

T. Rotter. 2013. Clinical Pathways in Hospitals: Evaluating Effects And Costs.

C. Lowe. 1998. Quality Versus Value. J. Nurs. Manag. 6(5): 303-6.

M. Croucher. 2005. An Evaluation Of The Quality Of Integrated Care Pathway Development In The UK National Health Service. J. Integr. Pathways. 6(9): 8.

C. Z. V. K. U. Leuven. 2006. Care Process Self Evaluation Tool ( CPSET ).

Vanhaecht, K., De Witte, K. Sermeus, W. et al. 2007. The Impact Of Clinical Pathways On The Organisation Of Care Processes. Phd Dissertation Kuleuven, 154pp, Katholieke Universiteit Leuven.

K. Vanhaecht, K. De Witte, R. Depreitere, and W. Sermeus. 2006. Clinical Pathway Audit Tools: A Systematic Review. J. Nurs. Manag. 14(7): 529-37.

P. Bjurling-Sj.berg, I. Jansson, B. Wadensten, G. Engstrm, and U. Pder. 2014. Prevalence And Quality Of Clinical Pathways In Swedish Intensive Care Units: A National Survey. J. Eval. Clin. Pract. 20(1): 48-57.

H. M. A. S. A. ; I. R. A. Sapian. 2010. Health Research Priorities in Malaysia for the10th Malaysia Plan (2011– 2015).

N. Danchin. 2009. Systems Of Care For ST-Segment Elevation Myocardial Infarction: Impact Of Different Models On Clinical Outcomes. JACC. Cardiovasc. Interv. 2(10): 901-8.

T. Rotter and L. Kinsman. 2010. Clinical Pathways: Effects On Professional Practice, Patient Outcomes, Length Of Stay And Hospital Costs. Database Syst Rev. 7.

S. R. Arnold and S. E. Straus. 2005. Interventions To Improve Antibiotic Prescribing Practices In Ambulatory Care. Cochrane database Syst. Rev. 4: CD003539.

L. Hoxie. 1996. Outcomes Measurement And Clinical Pathways. JPO J. Prosthetics Orthot. 3(3): 93-95.

T. Rotter, L. Kinsman, E. James, A. Machotta, J. Willis, P. Snow, and J. Kugler. 2012. The Effects Of Clinical Pathways On Professional Practice, Patient Outcomes, Length Of Stay, And Hospital Costs: Cochrane Systematic Review And Meta-Analysis. Eval. Health Prof. 35(1): 3-27.

A Barbieri and K. Vanhaecht. 2009. Effects Of Clinical Pathways In The Joint Replacement: A Meta-Analysis. BMC. 7: 32.

Panella, S. Marchisio, A. 2007. Gardini, and F. Di Stanislao. 2007. A Cluster Randomized Controlled Trial Of A Clinical Pathway For Hospital Treatment Of Heart Failure: Study Design And Population. BMC Health Serv. Res. 7: 179.

J. van de Klundert, P. Gorissen, and S. Zeemering. 2010. Measuring clinical pathway adherence. J. Biomed. Inform. 43(6): 861-72.

L. Kinsman. 2004. Clinical Pathway Compliance And Quality Improvement. Nurs. Stand. 18(18): 33-5.

L. Lv, Y.-F. Shao, and Y. Zhou. 2012. The Enhanced Recovery After Surgery (ERAS) Pathway For Patients Undergoing Colorectal Surgery: An Update Of Meta-Analysis Of Randomized Controlled Trials. Int. J. Colorectal Dis. 27(12): 1549-54.

T. Rotter, L. Kinsman, E. L. James, a Machotta, H. Gothe, J. Willis, P. Snow, and J. Kugler. 2010. Clinical Pathways: Effects on Professional Practice, Patient Outcomes, Length of Stay and Hospital Costs. Cochrane Database Syst. Rev. 3: CD006632.

S. Sternberg. 2007. Influence of Stroke Clinical Pathway on Documentation.

I. Aniza, S. Saperi, and S. M. Aljunid. 2008. Clinical Pathway As A Strategy In Improving Healthcare Quality And Cost Containment. Med. Health. 3(2): 239-246.

A. Nicholson, C. H. Coldwell, S. R. Lewis, and A. F. Smith. 2013. Nurse-Led Versus Doctor-Led Preoperative Assessment For Elective Surgical Patients Requiring Regional Or General Anaesthesia. Cochrane Database Syst. Rev. 11(11): CD010160.

Downloads

Published

2016-08-28

Issue

Section

Science and Engineering

How to Cite

DESIGN STANDARD IN HEALTH CARE TO FOLLOW OR NOT? AN INSIGHT FROM CLINICAL PATHWAY. (2016). Jurnal Teknologi (Sciences & Engineering), 78(9). https://doi.org/10.11113/jt.v78.9608