Clinical pathway audit tools: a systematic review

Vanhaecht, Kris; Witte, Kristof De; Depreitere, Roeland; Sermeus, Walter

doi:10.1111/j.1365-2934.2006.00705.x

Cited by 96 publications

(114 citation statements)

References 26 publications

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“…Peer networks have previously been shown to facilitate patient care (15), implementation of clinical pathways (16), management of parenteral nutrition in the home setting (17), standardization of laboratory measurements (18), and management of rare chronic Objective: Evidence-based practice recommendations abound, but implementation is often unstructured and poorly audited. We assessed the ability of a peer network to implement an evidence-based best practice protocol and to measure patient outcomes.…”

mentioning

confidence: 99%

Multicenter implementation of a consensus-developed, evidence-based, spontaneous breathing trial protocol*

Robertson

Mann

Hyzy

et al. 2008

Critical Care Medicine

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mentioning

confidence: 99%

Multicenter implementation of a consensus-developed, evidence-based, spontaneous breathing trial protocol*

Robertson

Mann

Hyzy

et al. 2008

Critical Care Medicine

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“…The development of the clinical transition pathway was based on the principles of Vanhaecht and Sermeus (2002) (Vanhaecht et al 2006). This method consists of 11 steps in four phases: the plan-do-check-act cycle (Hoekstra et al 2003).…”

Section: Methodsmentioning

confidence: 99%

“…All results from the patient and parent surveys were used to develop a clinical transition pathway, based on the principles of Vanhaecht and Sermeus (2002) (Vanhaecht et al 2006).…”

Section: Developing the Clinical Transition Pathwaymentioning

confidence: 99%

Development of a clinical transition pathway for adolescents in the Netherlands

Walter

Hazes

Dolhain

et al. 2017

Nursing Children and Young People

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Aims To explore how young people with juvenile-onset rheumatic and musculoskeletal diseases (jRMDs) and their parent(s) experience care during preparation for the upcoming transfer to adult services, and to develop a clinical transition pathway.Method A survey was conducted with 32 young people aged between 14 and 20 years with jRMDs, and their parents (n=33), treated at the department of paediatric rheumatology in a tertiary care children's hospital in the Netherlands.Results More than 30% of young people would have liked to discuss topics such as educational and vocational choices in a clinic, but did not get the opportunity. Preparation for transition was poor as was training in self-management skills. One third of parents had feelings of anxiety about the upcoming transfer. Results from the survey and evidence-based principles of transitional care were used to develop the clinical transition pathway. The pathway focuses on starting transition early, developing self-management skills, joint consultations and supporting parents in giving young people control of their clinical care.Conclusion Care does not currently meet the needs of young people in the process of transition to adult rheumatology services. The clinical transition pathway developed as a result of the study is a tool that may improve this process.

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“…It is envisaged that audit tools in the form of checklists will be developed to evaluate key intermediate sub-process outcomes (marked with an 'O' in the diagram) that have major impact on end patient outcomes. 38 The NGT raised issues that were novel. Most importantly for the radiography profession, the group suggested the introduction of a technical report by radiographers that together with the radiologist diagnostic report would provide a more complete documentation to the referrer and to management.…”

Section: Discussionmentioning

confidence: 99%

Optimizing a magnetic resonance care pathway: A strategy for radiography managers

et al. 2015

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a b s t r a c tPurpose: This study reports the optimization of a local MR care pathway. A search of the literature did not result in any studies regarding the optimization of MRI care pathways through a formal research process. Discussions with international MR radiographers indicated that such development is often carried out using informal methods that are highly dependent on local conditions, that are rarely reported in the public domain and the validities of which are therefore not open to scrutiny; in addition, care pathways need to be specific to local healthcare needs and culture. In this study, the authors propose a formal documented methodology for developing a local MRI care pathway based on the wellestablished nominal group technique. Methods and materials: A nominal group technique was conducted amongst a multi-professional panel.Results: 14 participants accepted the invitation to participate: an executive from the principal public general hospital, a manager from the national Ministry for Health, a service development manager from the allied healthcare professional sector, 2 senior physiotherapists, 3 nursing officers, 3 MRI radiographers, 2 medical physicists, 1 radiologist. Ten optimization related issues were identified and ranked in order of decreasing importance. Highest ranking scores were assigned to patient safety, education of referrers and use of quality criteria. The NGT method also brought forward novel themes in particular the need for a radiographer's technical report and the need for referrers to indicate pain levels of patients. Conclusion: The design of an MR care pathway was successfully optimized using a collaborative multistakeholder approach.© 2014 The College of Radiographers. Published by Elsevier Ltd. All rights reserved. IntroductionAt the MRI unit level, service quality is contingent on the design of the care pathway through which the MRI service is delivered and experienced by patients.1,2 Hence, an optimized care pathway design is crucial for the attainment of an effective, safe and efficient service. 3 This study reports the optimization of such a local care pathway as initially perceived and developed by the researchers and based on input from local and international colleagues.A search of the literature did not result in any studies regarding the optimization of MRI care pathways through a formal research process. Discussions with international MR radiographers indicated that such development is often carried out using informal methods that are highly dependent on local conditions, that are rarely reported in the public domain and the validities of which are therefore not open to scrutiny; in addition, care pathways need to be specific to local healthcare needs and culture. In this study, the authors propose a formal documented methodology for developing a local MRI care pathway based on the well-established nominal group technique (NGT). The study forms part of a wider study on continuous professional development for senior radiographers in Malta; the optimized pathwa...

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Clinical pathway audit tools: a systematic review

Cited by 96 publications

References 26 publications

Multicenter implementation of a consensus-developed, evidence-based, spontaneous breathing trial protocol*

Multicenter implementation of a consensus-developed, evidence-based, spontaneous breathing trial protocol*

Development of a clinical transition pathway for adolescents in the Netherlands

Optimizing a magnetic resonance care pathway: A strategy for radiography managers

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