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Journal of Integrated Care Pathways最新文献

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Who gains from transparency? 谁从透明度中获益?
Journal of Integrated Care Pathways Pub Date : 2007-12-01 DOI: 10.1258/JICP.2007.007173
J. Gray
{"title":"Who gains from transparency?","authors":"J. Gray","doi":"10.1258/JICP.2007.007173","DOIUrl":"https://doi.org/10.1258/JICP.2007.007173","url":null,"abstract":"In supporting teams across the UK to develop care pathways, I have discovered that the promise of transparency and the opportunity for consistently measuring success strikes fear into the hearts of many. Frank discussions reveal that there is uncertainty about who will gain from transparency and how. What will professionals who have historically held the balance of power by keeping what they do shrouded in mystery, gain from sharing this information? What shifts and changes to services will managers and commissioners make based on their interpretation of this information? How will politicians, so skilled in manipulating information, use this new source of knowledge and insight? Knowing more or different things about the care of patients has always been a fundamental part of the games played by each party; how would these games change if everyone had all the information? If we honestly want a patient-centred health service, based on evidence, with services fit for purpose and equality of access, then why would we be afraid of transparency? A knowledge management framework based on transparency of the patient-centred end-to-end process of care (the business of health care) provides:","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"15 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130077838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency Department clinical algorithms: one academic medical centre's road to clinical excellence through collaborative practice 急诊科临床算法:一个学术医疗中心通过协作实践实现临床卓越之路
Journal of Integrated Care Pathways Pub Date : 2007-12-01 DOI: 10.1258/jicp.2007.007177
M. Langdorf, M. J. Burns, S. Rudkin, D. Bradley, T. Bridgeman, Marla Gain, S. Welbourne
{"title":"Emergency Department clinical algorithms: one academic medical centre's road to clinical excellence through collaborative practice","authors":"M. Langdorf, M. J. Burns, S. Rudkin, D. Bradley, T. Bridgeman, Marla Gain, S. Welbourne","doi":"10.1258/jicp.2007.007177","DOIUrl":"https://doi.org/10.1258/jicp.2007.007177","url":null,"abstract":"Clinical pathways were first introduced into the US patient delivery system in 1988. Increased competition, high acuity, managed care and an emphasis on cost-effective quality care caused the University of California Irvine Medical Center (UCIMC) to consider the clinical path strategy of managing care. It should be noted that Executive Administrative support is necessary for the success of a programme addressing standardization of care up to, and including, the hospital Chief Executive Officer (CEO). Collaboration among departments is critical to successful pathway development and implementation. The clinical pathway programme began at UCIMC in 1999 and has resulted in the development and implementation of 21 inpatient pathways, which are measured for effectiveness quarterly. This programme has resulted in reduction in cost per discharge of 25%, with no identifiable negative quality impact. Clinical pathways had two major benefits: reduction in the practice variation and promotion of collaborative practice across medical, surgical and nursing disciplines. Due to the success of this programme, it was determined that a similar strategy would benefit the hospital’s EmergencyDepartment (ED),where, inour institution, 53% of admitted hospital patients begin their care. The ED already had a congruent goal to standardize physician and nursing practice, increase productivity and augment patient satisfaction. The Institute of Medicine, through its landmark report on errors in medicine, suggested that standardization of practice through systematic development and implementation of evidence-based clinical pathways is an effective way to reduce errors in emergency systems.","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127754702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Poster presentations at the Integrated Care Pathways 2007 conference 综合护理路径2007会议的海报展示
Journal of Integrated Care Pathways Pub Date : 2007-12-01 DOI: 10.1258/jicp.2007.007175
J. Gray
{"title":"Poster presentations at the Integrated Care Pathways 2007 conference","authors":"J. Gray","doi":"10.1258/jicp.2007.007175","DOIUrl":"https://doi.org/10.1258/jicp.2007.007175","url":null,"abstract":"Throughout the Integrated Care Pathways 2007 conference, organized by Healthcare Events, posters were displayed, and poster presenters were available to talk about their displays and answer questions. This formed a valuable and interesting part of the annual conference, giving ample opportunity for the sharing and dissemination of best practice and ideas. The previous issue of the Journal of Integrated Care Pathways featured 13 of the posters and the remaining three are reproduced below along with summary reviews covering the project’s main aims and objectives, methods, results and conclusions.","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122247866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrated care pathways in dementia: a challenge to National Institute for Health and Clinical Excellence/Social Care Institute for Excellence guidance 痴呆症的综合护理途径:对国家健康和临床卓越研究所/社会护理卓越研究所指导的挑战
Journal of Integrated Care Pathways Pub Date : 2007-12-01 DOI: 10.1258/jicp.2007.007174
A. Larner
{"title":"Integrated care pathways in dementia: a challenge to National Institute for Health and Clinical Excellence/Social Care Institute for Excellence guidance","authors":"A. Larner","doi":"10.1258/jicp.2007.007174","DOIUrl":"https://doi.org/10.1258/jicp.2007.007174","url":null,"abstract":"ABSTRACT An integrated care pathway (ICP) is proposed for the diagnosis of dementia syndromes, encompassing the various disciplines which may be involved (psychiatry, geriatrics, neurology, clinical genetics) due to the heterogeneity of presentation at the clinical and aetiological level. This proposed ICP challenges guidance recently issued by the National Institute for Health and Clinical Excellence (NICE) and the Social Care Institute for Excellence (SCIE), which requires a ‘single point of referral’ to access all dementia services. The proposal is prompted by the non-unitary nature of dementia, which may be envisaged as a ‘boundary’ condition transcending traditional professional categories and involving a wide array of professional groups in patient diagnosis in secondary care. Diversity rather than uniformity may best serve patient needs in such a heterogeneous syndrome.","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125920666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
An All–Wales Audit of the Integrated Care Pathway for the Last Days of Life: Establishing the Audit Cycle: 生命最后几天综合护理途径的全威尔士审计:建立审计周期:
Journal of Integrated Care Pathways Pub Date : 2007-04-01 DOI: 10.1258/J.JICP.2007.155
C. Susan, R. Johnstone, A. Fowell
{"title":"An All–Wales Audit of the Integrated Care Pathway for the Last Days of Life: Establishing the Audit Cycle:","authors":"C. Susan, R. Johnstone, A. Fowell","doi":"10.1258/J.JICP.2007.155","DOIUrl":"https://doi.org/10.1258/J.JICP.2007.155","url":null,"abstract":"Since 2000, the Integrated Care Pathway (ICP) for the last days of life has been implemented mainly in secondary care and to some extent in primary care throughout Wales. The use of the document wa...","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125129769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Intranasal Diamorphine for Paediatric Analgesia in the Accident and Emergency Department: Lessons Learned from the Development, audit and re–audit of an Integrated Care Pathway: 鼻内吗啡用于急诊科儿科镇痛:综合护理途径的发展、审核和再审核的经验教训:
Journal of Integrated Care Pathways Pub Date : 2006-12-01 DOI: 10.1258/J.JICP.2006.142
K. K. Gahir, P. Ransom
{"title":"Intranasal Diamorphine for Paediatric Analgesia in the Accident and Emergency Department: Lessons Learned from the Development, audit and re–audit of an Integrated Care Pathway:","authors":"K. K. Gahir, P. Ransom","doi":"10.1258/J.JICP.2006.142","DOIUrl":"https://doi.org/10.1258/J.JICP.2006.142","url":null,"abstract":"The objective of this study was to introduce intranasal diamorphine for paediatric analgesia in the Accident and Emergency (A&E) Department and to monitor its use. It was carried out at the A&E Dep...","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128512750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical pathways – a Middle-Eastern perspective 临床途径——中东视角
Journal of Integrated Care Pathways Pub Date : 2006-12-01 DOI: 10.1258/J.JICP.2006.143
Karen Al Nobani
{"title":"Clinical pathways – a Middle-Eastern perspective","authors":"Karen Al Nobani","doi":"10.1258/J.JICP.2006.143","DOIUrl":"https://doi.org/10.1258/J.JICP.2006.143","url":null,"abstract":"","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"47 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130449121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Can Users be Involved in Service Improvement in Health and Social Care, and why is this Important?: 用户如何参与卫生和社会保健服务的改进，为什么这很重要?：
Journal of Integrated Care Pathways Pub Date : 2006-08-01 DOI: 10.1258/J.JICP.2006.136
Emma Challans
{"title":"How Can Users be Involved in Service Improvement in Health and Social Care, and why is this Important?:","authors":"Emma Challans","doi":"10.1258/J.JICP.2006.136","DOIUrl":"https://doi.org/10.1258/J.JICP.2006.136","url":null,"abstract":"","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124864200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Acute Urinary Retention Guidelines – are they Worth it?: 急性尿潴留指南——值得吗?：
Journal of Integrated Care Pathways Pub Date : 2006-08-01 DOI: 10.1258/J.JICP.2006.134
R. Durai, R. Ravi, I. Dickinson
{"title":"Acute Urinary Retention Guidelines – are they Worth it?:","authors":"R. Durai, R. Ravi, I. Dickinson","doi":"10.1258/J.JICP.2006.134","DOIUrl":"https://doi.org/10.1258/J.JICP.2006.134","url":null,"abstract":"ObjectiveMany district general hospitals in the UK do not have 24-hour urology cover and the junior doctors admit almost all patients with acute urinary retention (AUR) unnecessarily. A small retrospective audit involving a random selection of 17 patients who initially presented with AUR to accident and emergency (AE three patients were excluded.ResultsAfter implementation of the guideline, the majority of patients went home with a catheter (86%), and the num...","PeriodicalId":332790,"journal":{"name":"Journal of Integrated Care Pathways","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115710235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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