The Sustained Impact of an Evidenced-Based Clinical Pathway for Acute Appendicitis
| Autor: | Uma R. Kotagal, Charlotte L. Andersen, Harry D Atherton, Brad W. Warner, Kate A. Rich |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Postoperative management Clinical pathway Outcome Assessment Health Care medicine Humans Hospital Costs Child Intensive care medicine Beneficial effects Ohio Postoperative Care Evidence-Based Medicine Rupture Spontaneous business.industry Evidenced based Length of Stay Appendicitis medicine.disease Outcome parameter Intestinal Perforation Pediatrics Perinatology and Child Health Acute appendicitis Critical Pathways Linear Models Female Surgery business Hospital stay |
| Zdroj: | Seminars in Pediatric Surgery. 11:29-35 |
| ISSN: | 1055-8586 |
| DOI: | 10.1053/spsu.2002.29364 |
| Popis: | Appendicitis is a frequent pediatric surgical condition for which there is great variability among practitioners regarding diagnosis and postoperative management. With this in mind, the authors designed and implemented an evidence-based appendicitis clinical pathway at their institution. Establishment of the pathway resulted in decreased hospital cost, reduced hospital stay, and fewer unnecessary laboratory tests. The purpose of the current study was to determine the sustainability of the pathway beyond its initial implementation phase. The authors showed that several, but not all, favorable outcomes of the pathway were sustained. These data suggest that a clinical pathway for appendicitis at the authors' institution results in sustained beneficial effects in some but not all outcome parameters. Ongoing monitoring of pathway compliance, continued education of practitioners and nursing personnel, and identification of key pathway team member(s) responsible for the pathway system might result in a greater long-term impact of these guidelines. |
| Databáze: | OpenAIRE |
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