ICPAT: Integrated Care Pathways Appraisal Tool

Whittle, Claire

doi:10.1258/jicp.2009.009012

Cited by 12 publications

(12 citation statements)

References 11 publications

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“…There are 31 beds there. c. ICPAT evaluation result (Whittle, 2009) explained the classification of ICPAT evaluation. If the result obtained from the assessment is <50% then it is included in the criteria of poor.…”

Section: B the Wardmentioning

confidence: 99%

“…Patient involvement is very important in the development of a clinical pathway, one of the important things to note in the development of a clinical pathway is transparency of patients. 20 Lack of accountability in the quality and transparency service process in patients can affect the process of developing clinical pathways. 21 From the ICPAT (Integrated Clinical Pathways Apprasial Tools) dimension 4, the content and quality section is in the poor category.…”

Section: Completeness Of the Clinical Pathway Contentsmentioning

confidence: 99%

“…17 The lack of physician involvement is one reason for the failure of clinical pathway implementation. 20…”

Section: Completeness Of the Clinical Pathway Contentsmentioning

confidence: 99%

“…4 The process of the service becomes one of the determinants of outcome so that there is a need for more organized stroke services to narrow the process variation. 5 The improvement of stroke service process is expected to support better outcomes of stroke service quality. One of the clinical management used is the implementation of clinical pathway.…”

Section: Introductionmentioning

confidence: 99%

“…ICPAT is an instrument that has been validated and can be used to evaluate the content and quality of ICP, which consists of 6 dimensions. 5…”

Section: Introductionmentioning

confidence: 99%

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The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital

Fitri

Sundari

2018

JMMR

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Stroke remains one of the major health problems, not only in Indonesia but also in the world. The improvement of stroke service process is expected to support better outcomes of stroke service quality. One of the clinical management uses is the implementation of clinical pathway (CP). The purpose of this study was to explore the implementation of clinical pathway cerebral infarction in the inpatient unit of Bantul X hospital. A convergent parallel mix-method design with case study approach. The quantitative sample is the patient's total cerebral infarction medical record (June 2016-November 2016, n=27) and ICPAT checklist. Qualitative samples are doctors, nurses and people involved in the implementation of CP cerebral infarction obtained from deep interview with purposive sampling technique. The result of this study, ICPAT dimensio 1 (CP format) content and quality are good. Dimension 2 (CP documentation) moderate content and good quality. Dimension 3 (CP development) moderate content and good quality. Dimension 4 (CP implementation) content and quality are poor. Dimension 5 (CP maintenance) content and quality are moderate. Dimension 6 (role of organization) content and quality are good. Compliance rate of completeness of CP form is 22% and compliance of filling clinical pathway is 0 %. Most contraints due to busyness of the officer and time constraints. To improve the cerebral infarction CP implementation need more socialization, training, regular evaluation and full time facilitator.Stroke masih menjadi salah satu masalah utama kesehatan, bukan hanya di Indonesia namun dunia. Dengan adanya perbaikan proses pelayanan stroke diharapkan dapat menunjang outcome kualitas pelayanan stroke yang lebih baik, yaitu dengan pemberlakuan clinical pathway (CP). Tujuan penelitian ini adalah untuk mengeksplore implementasi CP infark cerebri pad unit rawat inap rumah sakit X Bantul. Penelitian mix-method secara convergent parallel dengan pendekatan studi kasus. Sampel kuantitatif adalah rekam medis pasien infark cerebri secara total sampling (Juni 2016-November 2016 dan checklist ICPAT. Sampel kualitatif adalah dokter, perawat, dan orang0orang yang terlibat implementasi CP infark cerebri diperoleh dari deep interview dengan teknik purposive sampling. Hasil penelitian ini adalah ICPAT dimensi 1 (Format CP) konten dan mutu baik. Dimensi 2 (Dokumentasi CP) konten moderate dan mutu baik. Dimensi 3 (Pengembangan CP) konten moderate dan mutu baik. Dimensi 4 (Penerapan CP) konten dan mutu kurang. Dimensi 5 (Pemeliharaan CP) konten dan mutu moderate. Dimensi 6 (Peran Organisasi) konten dan mutu baik. Tingkat kepatuhan formulir CP sebesar 22% dan kepatuhan pengisian CP sebesar 0%. Untuk memperbaiki kepatuhan implementasi CP infark cerebri membutuhkan sosialisasi, pelatihan dan evaluasi rutin serta fasilitator waktu penuh.

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Section: B the Wardmentioning

confidence: 99%

Section: Completeness Of the Clinical Pathway Contentsmentioning

confidence: 99%

“…17 The lack of physician involvement is one reason for the failure of clinical pathway implementation. 20…”

Section: Completeness Of the Clinical Pathway Contentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…ICPAT is an instrument that has been validated and can be used to evaluate the content and quality of ICP, which consists of 6 dimensions. 5…”

Section: Introductionmentioning

confidence: 99%

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The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital

Fitri

Sundari

2018

JMMR

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Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul

Astuti

Dewi²,

Arini³

2017

JMMR

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Analysis of Acute Appendicitis Clinical Pathways Implementation in Royal Prima Medan General Hospital Year 2020

Angkasa

Girsang²,

Nasution³

et al. 2022

ijph

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Introdution: Clinical pathway (CP) is a disease management tool used to reduce unnecessary variations in services, increase clinical outcomes, and control resources. Acute appendicitis is one cause of acute abdominal pain, where cases of appendix perforation range from 20-30% increasing to 32-72% at the age of more than 60. Methods: This research was conducted using mix method with case study design. Qualitative data were taken by interview and observation. Quantitative data were taken with a simple description from the acute appendicitis CP documentation in medical records and ICPAT (January - September 2020, n = 117). Result: According to the result of the research, the level of completeness for CP was 100% and form filling was 85%. Conclusion: ICPAT dimension 1 made sure that the form was the clinical pathway. The content and quality were good, and dimension 2 assesses the CP documentation process. The content is lacking and the quality is moderate, dimension 3 assess the CP development process which content was good, and quality was moderate, and dimension 4 assesses the CP implementation process. The content was moderate, and the quality was good. Dimension 5 is to assess the maintenance of clinical pathways in which content was lacking and quality was moderate. Dimension 6 serves to assess the role of the organization that content was good and quality was moderate where the obstacles were due to lack of understanding and time constraints.

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ICPAT: Integrated Care Pathways Appraisal Tool

Abstract: This report outlines how the Integrated Care Pathways Appraisal Tool (ICPAT) has been applied in the assessment of the content and quality of a selection of integrated care pathways in use in the United Kingdom.

Cited by 12 publications

References 11 publications

The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital

The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital

Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul

Analysis of Acute Appendicitis Clinical Pathways Implementation in Royal Prima Medan General Hospital Year 2020

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