Annual Meeting of the American Association of Plastic Surgeons. Portland, OR, USA, 1997/05/21.
Clinical pathways are interdisciplinary patient care plans intended to reduce variance and improve quality of care while lowering health care cost.
This study was undertaken to determine whether the development of a clinical pathway for care of patients with pressure ulcers can indeed decrease health care costs while preserving quality of care.
A clinical pathway for surgical reconstruction of pressure ulcers was developed by standardizing the current practices of our plastic surgeon group.
The pathway provided direction in optimal scheduling of physician interventions along with nursing, physical and occupational therapies, and spinal cord rehabilitation interventions.
It covered all potential elements of patient care, including laboratory, radiology, dietary services, intravenous fluids, and use of specialty beds.
It defined patient outcomes and outlined discharge planning.
Pathways were distributed throughout all services caring for patients with pressure ulcers.
Patient charts and billing data were reviewed for the 16-month periods before and after initiation of the pathway.
No other significant changes in treatment occurred during this time frame.
Ninety-seven patient charts were examined (54 before pathway and 43 after pathway implementation).
Parameters evaluated included length of stay and total charges (including bed use, medications, laboratory tests, and radiology). (...)
Mots-clés Pascal : Escarre, Décubitus, Qualité, Soin, Coût, Reconstruction, Durée, Hospitalisation, Traitement, Economie, Homme, Peau pathologie, Chirurgie plastique
Mots-clés Pascal anglais : Sore, Decubitus, Quality, Care, Costs, Reconstruction, Duration, Hospitalization, Treatment, Economy, Human, Skin disease, Plastic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0005000
Code Inist : 002B25A. Création : 31/05/1999.