Desarrollo de la vía clínica de la tiroidectomía en un hospital general

Soria, Víctor; Candela, Maria; Flores, Benito; Andreo, José Antonio; Pérez, Consuelo Dávila; Gómez, María Dolores; Illán, Fátima; Leal, Jesús; Carrasco, Milagros; Aguayo, José Luis

doi:10.1016/s1134-282x(03)77624-6

Revista de Calidad Asistencial

2003

DOI: 10.1016/s1134-282x(03)77624-6

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Desarrollo de la vía clínica de la tiroidectomía en un hospital general

Víctor Soria

Maria Candela

Benito Flores

et al.

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Cited by 4 publications

(1 citation statement)

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“…In October 2001, our department implemented the clinical pathway for thyroidectomy, which included criteria and practice patterns for these aspects aimed at reducing this variation. 5 Currently, there are few publications evaluating the thyroidectomy process in the United States 6,7 and Asia 8 and none, that we have found, on follow up.…”

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confidence: 79%

Evaluation and Monitoring of the Clinical Pathway for Thyroidectomy

Soria-Aledo

Flores-Pastor

Candel-Arenas

et al. 2008

The American Surgeon™

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The aim of this study is to present the evaluation and monitoring of a clinical pathway for thyroidectomy 1 year after its implementation and after 4 years’ follow up. We compare the results of an evaluation and monitoring indicators series before and after the establishment of the clinical pathway for thyroidectomy in the Surgery Department of Morales Meseguer Hospital, a general university hospital in Murcia, Spain. Implementation of the clinical pathway led to a reduction in length of hospital stay for all the surgery patients (4.8 ± 2.1 and 3.6 ± 1.9 days before and after pathway implementation, respectively; P < 0.001). Implementation of the clinical pathway led to a reduction in cost in all the operated patients (3357 ± 966 and 2695 ± 970 US$ before and after implementing the clinical pathway, respectively; P < 0.001). Evolution of the mean hospital cost according to year of study shows a reduction from 2000 (3400 ± 1056 US$) to 2004 (2404 ± 666 US$) with a slight increase during 2005 (2721 ± 1335 US$) (P < 0.001). Implementation of the clinical pathway for thyroidectomy has successfully reduced clinical variation and therefore the length of hospital stay and mean cost of the process. In subsequent years, no such major improvements have been made with regard to hospital stay, although they are still clearly better than those before pathway implementation.

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confidence: 79%

Evaluation and Monitoring of the Clinical Pathway for Thyroidectomy

Soria-Aledo

Flores-Pastor

Candel-Arenas

et al. 2008

The American Surgeon™

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Vía clínica del carcinoma colorrectal. Elaboración a partir del análisis del proceso

Soria

Pellicer

Morales

et al. 2004

Revista de Calidad Asistencial

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Desarrollo y proceso de mejora de la vía clínica “neumonía adquirida en la comunidad con ingreso hospitalario” en un hospital de ámbito comarcal

Muñoz¹,

Cabeza²,

Herrero³

et al. 2006

Revista de Calidad Asistencial

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Desarrollo de la vía clínica de la tiroidectomía en un hospital general

Cited by 4 publications

References 9 publications

Evaluation and Monitoring of the Clinical Pathway for Thyroidectomy

Evaluation and Monitoring of the Clinical Pathway for Thyroidectomy

Vía clínica del carcinoma colorrectal. Elaboración a partir del análisis del proceso

Desarrollo y proceso de mejora de la vía clínica “neumonía adquirida en la comunidad con ingreso hospitalario” en un hospital de ámbito comarcal

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