Reduced in-hospital mortality for heart failure with clinical pathways: the results of a cluster randomised controlled trial

Abstract

NCT00519038.

Betre kvalitet med behandlingsliner

“…Mest overtydande evidens er difor at implementeringa av desse betrar pasientutkommer og kostnad-nytte-ratioet (5)(6)(7)(8). Men der er også mange studier som har vist at implementeringa av standardiserte behandlingsliner fører til kortare liggetid, lågare insidens av postoperative komplikasjonar og betra dokumentasjon (6,9).…”

Have We Drawn the Wrong Conclusions About the Value of Care Pathways? Is a Cochrane Review Appropriate?

“…Based on this definition, a set of characteristics could be developed for screening the literature: (a) organization of care, (b) specific patient group and time, (c) goals based on evidence, (d) focus on communication, coordination, and evaluation, and (e) link with resources to (f) improve the different aspects of quality. Thus pathways are complex or multicomponent interventions which include many potential ''active ingredients'' where the whole of the intervention should be considered more than the sum of its parts (Berwick, 2008;Medical Research Council, 2000;Medical Research Council (MRC), 2002;Panella, Marchisio, Demarchi, Manzoli, & Di Stanislao, 2009;Panella, Marchisio, Gardini, & Di Stanislao, 2007;. Pathways are more than only a document in the patient record but a way to organize and standardize multidisciplinary care for patient groups using well-known quality improvement methods.…”

The European Quality of Care Pathway (EQCP) Study: history, project management and approach

“…Piedmont University even has experience with phase four studies. 5,6,12,13 With the EQCP study, the E-P-A launched the first international cluster RCT (cRCT) on the effect of care pathways on the compliance to process indicators and performance to outcome indictors. Next to the effectiveness, the E-P-A is interested in understanding why and under what circumstances pathways lead to their effect.…”