Merging Clinical Pathway Programs as Part of Overall Health System Mergers: A Ten-Step Guide

Schriefer, Janice; Engelhard, Jeanne; DiCesare, Linda; Miller, Marianne McInnes; Schriefer, John

doi:10.1016/s1070-3241(00)26003-3

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…Other benefits covered in the literature included improved clinical teamwork, [7][8][9] staff education, 10 reduced legal risks, 11,12 ensuring use of appropriate care settings, 13 and service and facilities planning. 14,15 Finally, there were several papers that addressed constraints to effective implementation. For example, Pace et al reported a study that showed the main barriers were clinical practice variation among doctors and poor attitudes towards teamwork.…”

Section: Clinical Pathwaysmentioning

confidence: 99%

Clinical pathways in 17 European Union countries: a purposive survey

Hindle¹,

Yazbeck²

2005

Aust. Health Review

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We undertook a survey of clinical pathways across the 25 European Union countries, Australia. Fifty-one questionnaires were completed by largely self-selected experts from 17 countries. Respondents reported that pathways were important and were becoming increasingly widely used (although the rate of progress was highly variable). One important constraint was reported to be a cultural aversion among doctors that arises at least in part from the implication that pathways require multidisciplinary teamwork which will prejudice medical autonomy. In other words, pathways challenge clinical professional sub-cultures. Other constraints included lack of encouragement by external parties, such as purchasers, with limited financial support for pathway development and implementation and service purchasing that did not reward care providers who use pathways. The obvious implication of the survey is that more needs to be done to achieve a common understanding of pathways. In spite of the large quantity of published papers, survey respondents reported that there are many health professionals who have only a superficial understanding at best.

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Section: Clinical Pathwaysmentioning

confidence: 99%

Clinical pathways in 17 European Union countries: a purposive survey

Hindle¹,

Yazbeck²

2005

Aust. Health Review

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“…Generally, CPs are developed and implemented for patients suffering from specific diseases, associated with a high risk or generally leading to severe complications, the treatment of which is generally expensive, consumes extensive resources or demands prolonged length of stay in the hospital (Fleischmann et al 2002;Ibarra et al 1996;Ramos and Ratliff 1997;Schriefer et al 2000).…”

Section: Select a Topicmentioning

confidence: 99%

Clinical pathways – the Bulgarian approach

Ganova-Iolovska

Geraedts

2008

J Public Health

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“…Rapid growth of medical knowledge and its almost immediate translation into changes in practice combined with increasing specialisation (Donini-Lenhoff and Hedrick, 2000;Guleson, 2001;Schroeder, 2002) and a multidisciplinary approach to the treatment of disease (Buckingham and Adams, 2000;Connor et al, 2002;Hazard, 1994;Scheen et al, 2001;Schriefer et al, 2000), requires a very wide range of specialised postgraduate education at all levels of medical competence. Problems ranging from communication and definition of professional identities and roles within the medical management team (Burd et al, 2002;Cooper et al, 2002;Lingard et al, 2002;Sherwood et al, 2002), through procedure difficulties (Bair et al, 2002;Lefrancois and Dufour, 2002;Ruppert et al, 1999), missed or wrong diagnoses (De Lorenzo, 1993;Herlitz et al, 2002;Linn et al, 1997;Trzeciak et al, 2002), to errors in medical command of EMS (Emergency Medical Services) operations or inadequacy of pre-hospital provider training (Chiara et al, 2002;Cupera et al, 2002;Holliman et al, 1992) have been described.…”

Section: The Prehospital Training Challengementioning

confidence: 99%

Distributed, multiplatform high ﬁdelity human-patient simulation environment: a global-range simulation-based medical learning and training network

Lubitz¹,

Levine²

2005

IJHTM

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Simulation offers the most efficient adjunct in education and 'refresher' training of medical personnel. However, simulation devices and facilities are expensive and the combination of cost, distance from the training centres, and professional constraints prevent medical personnel in rural and remote regions from simulation-based training. We have demonstrated that these barriers can be overcome by the already developed distance simulation methods. However, whenever High Fidelity Patient Simulators are used in a multi-unit training environment (e.g., mass casualties) the problems of simulator incompatibility may introduce major problems in the orchestration and control of the simulated events. The paper discusses problems of international large scale 'just-in-time' training, and the initial solutions to simulation-based preparation of medical personnel using multiple simulators simulator sites separated by ultra-long distances.

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Merging Clinical Pathway Programs as Part of Overall Health System Mergers: A Ten-Step Guide

Cited by 6 publications

References 4 publications

Clinical pathways in 17 European Union countries: a purposive survey

Clinical pathways in 17 European Union countries: a purposive survey

Clinical pathways – the Bulgarian approach

Distributed, multiplatform high ﬁdelity human-patient simulation environment: a global-range simulation-based medical learning and training network

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Merging Clinical Pathway Programs as Part of Overall Health System Mergers: A Ten-Step Guide

Cited by 6 publications

References 4 publications

Clinical pathways in 17&nbsp;European Union countries: a purposive survey

Clinical pathways in 17&nbsp;European Union countries: a purposive survey

Clinical pathways – the Bulgarian approach

Distributed, multiplatform high ﬁdelity human-patient simulation environment: a global-range simulation-based medical learning and training network

Contact Info

Product

Resources

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Clinical pathways in 17 European Union countries: a purposive survey

Clinical pathways in 17 European Union countries: a purposive survey