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  1. One-year experience with an inpatient asthma clinical pathway.

    Article - En anglais

    Objective 

    To study the effects of an inpatient asthma clinical pathway on the processes and outcomes for children who were admitted to a hospital for the treatment of asthma.

    Design 

    Before-and-after study.

    Setting 

    A private nonprofit academic children's hospital in Seattle, Wash.

    Patients and Methods 

    Three hundred forty-two admissions of 297 patients in the first year of the asthma clinical pathway were compared with 353 admissions of 292 similar patients in the previous year.

    Patients who required intensive care, were younger than 2 years, or had a major chronic disease were excluded.

    Intervention 

    Asthma was chosen for the development of a clinical pathway because of its large number of admissions, involvement of multiple health care providers (nurses, physicians, and respiratory therapists), predictable hospital course, and variable lengths of hospital stay.

    The pathway was a consensus-based guideline for patient management that was intended to be adapted to the care of an individual patient.

    Prior to the implementation of the clinical pathway, nurses, attending physicians, house staff, and respiratory therapists were trained in its use.

    The main hospital chart of each patient who was admitted to the pathway had a flowchart that outlined day-to-day guidelines for monitoring and care.

    Nursing staff were responsible for documenting when a patient's care varied from the pathway, and these variances were entered into a computer database. (...)

    Mots-clés Pascal : Asthme, Enfant, Homme, Soin, Service hospitalier, Procédure, Normalisation, Evaluation performance, Coût, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Economie santé

    Mots-clés Pascal anglais : Asthma, Child, Human, Care, Hospital ward, Procedure, Standardization, Performance evaluation, Costs, United States, North America, America, Respiratory disease, Obstructive pulmonary disease, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0396823

    Code Inist : 002B11B. Création : 12/09/1997.