Which factors are important for the successful development and implementation of clinical pathways? A qualitative study

BMJ Quality and Safety

Volumn 20, Issue 3, 2011, Pages 203-208

  De Allegri, Manuela ^a   Schwarzbach, Matthias ^b,c   Loerbroks, Adrian ^d   Ronellenfitsch, Ulrich ^b  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY OF HEIDELBERG   (Germany)

^c UNIVERSITY HOSPITAL FRANKFURT   (Germany)

^d UNIVERSITY OF HEIDELBERG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PATHWAY; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HUMAN; NURSE; PHYSICIAN; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW;

ATTITUDE OF HEALTH PERSONNEL; CRITICAL PATHWAYS; HOSPITALS, UNIVERSITY; HUMANS; INTERDISCIPLINARY COMMUNICATION; INTERVIEWS AS TOPIC; MOTIVATION; PROGRAM DEVELOPMENT; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE;

EID: 79953785857     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs.2010.042465     Document Type: Article

References (46)

1. Campbell H, Hotchkiss R, Bradshaw N, et al. Integrated care pathways. BMJ 1998;316:133-7. (Pubitemid 28121114)
2. De Bleser L, Depreitere R, De WK, et al. Defining pathways. J Nurs Manag 2006;14:553-63. (Pubitemid 44494774)
3. Kinsman L, Rotter T, James E, et al. What is a clinical pathway? Development of a definition to inform the debate. BMC Med 2010;8:31.
4. Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med 1995;123:941-8.
5. Renholm M, Leino-Kilpi H, Suominen T. Critical pathways. a systematic review. J Nurs Adm 2002;32:196-202.
6. Kinsman L, James E, Ham J. An interdisciplinary, evidence-based process of clinical pathway implementation increases pathway usage. Lippincotts Case Manag 2004;9:184-96.
7. Kitchiner D, Davidson C, Bundred P. Integrated care pathways: effective tools for continuous evaluation of clinical practice. J Eval Clin Pract 1996;2:65-9. (Pubitemid 126673963)
8. Gurzick M, Kesten KS. The impact of clinical nurse specialists on clinical pathways in the application of evidence-based practice. J Prof Nurs 2010;26:42-8.
9. Vanhaecht K, Panella M, van Zelm R, et al. Is there a future for pathways? Five pieces of the puzzle. Intl J Care Pathw 2009;13:82-6.
10. Barbieri A, Vanhaecht K, Van HP, et al. Effects of clinical pathways in the joint replacement: a meta-analysis. BMC Med 2009;7:32.
11. De Luca A, Toni D, Lauria L, et al. An emergency clinical pathway for stroke patients - results of a cluster randomised trial (isrctn41456865). BMC Health Serv Res 2009;9:14.
12. Müller MK, Dedes KJ, Dindo D, et al. Impact of clinical pathways in surgery. Langenbecks Arch Surg 2009;394:31-9.
13. Rotter T, Kinsman L, James E, et al. Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst Rev 2010;3:CD006632.
14. Kinsman L, James EL. Evidence-based practice needs evidence-based implementation. Lippincotts Case Manag 2001;6:208-16.
15. Lemmens L, van ZR, Borel R, et al. Clinical and organizational content of clinical pathways for digestive surgery: a systematic review. Dig Surg 2009;26:91-9.
16. Ovretveit J. The future for care pathways. J Integr Care Pathw 2010;14:76-8.
17. Vanhaecht K, Bollmann M, Bower K, et al. Prevalence and use of clinical pathways in 23 countries - an international survey by the European Pathway Association. J Integr Care Pathw 2006;10:28-34.
18. Lemmens L, van Zelm R, Vanhaecht K, et al. Systematic review: indicators to evaluate effectiveness of clinical pathways for gastrointestinal surgery. J Eval Clin Pract 2008;14:880-7.
19. Ronellenfitsch U, Rössner E, Jakob J, et al. Clinical pathways in surgery - should we introduce them into clinical routine? A review article. Langenbecks Arch Surg 2008;393:449-57.
20. Rotter T, Kugler J, Koch R, et al. A systematic review and meta-analysis of the effects of clinical pathways on length of stay, hospital costs and patient outcomes. BMC Health Serv Res 2008;8:265.
21. Ibarra V, Titler MG, Reiter RC. Issues in the development and implementation of clinical pathways. AACN Clin Issues 1996;7:436-47.
22. Ramos MC, Ratliff C. The development and implementation of an integrated multidisciplinary clinical pathway. J Wound Ostomy Continence Nurs 1997;24:66-71. (Pubitemid 127735068)
23. Darrikhuma IM. Development of a renal transplant clinical pathway: one hospital's journey. AACN Clin Issues 1999;10:270-84.
24. Swain LM. Learning is fundamental: the impact of education on successful clinical pathway implementation. J Healthc Qual 1999;21:11-15.
25. Graeber S, Richter S, Folz J, et al. Clinical pathways in general surgery. Development, implementation, and evaluation. Methods Inf Med 2007;46:574-9.
26. Little AB, Whipple TW. Clinical pathway implementation in the acute care hospital setting. J Nurs Care Qual 1996;11:54-61.
27. Hadjistavropoulos HD, Dunn-Pierce T, Biem HJ. Provider perceptions of implementation of integrated care pathways for patients with chronic heart conditions. Can J Cardiovasc Nurs 2008;18:20-6.
28. Sawyer J, Wright FC, Moura SL, et al. Introducing a patient-focused care map in colorectal surgery: a pilot qualitative study of patients' and surgical oncology nurses' experiences. Can Oncol Nurs J 2008;18:25-33.
29. Hadjistavropoulos H, Pierce TD, Biem HJ, et al. What are the initial perceptions of multidisciplinary personnel new to integrated care pathway development? Healthc Manage Forum 2003;16:14-18.
30. Cardozo L, Ahrens S, Steinberg J, et al. Implementing a clinical pathway for congestive heart failure: experiences at a teaching hospital. Qual Manag Health Care 1998;7:1-12.
31. Hayward-Rowse L, Whittle T. A pilot project to design, implement and evaluate an electronic integrated care pathway. J Nurs Manag 2006;14:564-71. (Pubitemid 44494775)
32. de Mulder M, Zwaan E, Wielinga Y, et al. How to implement a clinical pathway for intensive glucose regulation in acute coronary syndromes. Crit Pathw Cardiol 2009;8:72-8.
33. Wurmb T, Fruhwald P, Roewer N, et al. Clinical pathway, quality circle and standard operating procedures as tools for quality management in the trauma suite. Z Evid Fortbild Qual Gesundhwes 2009;103:49-57.
34. Bick DE, Rycroft-Malone J, Fontenla M. A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequences. BMC Pregnancy Childbirth 2009;9:47.
35. Muhr G. Hierarchy in surgery. An antiquated system? Zentralbl Chir 1999;124(Suppl 3):2-5.
36. Sise CB, Sise MJ. Organizational rites and culture in a surgical residency program. Curr Surg 1989;46:365-71.
37. Kahokehr A, Sammour T, Zargar-Shoshtari K, et al. Implementation of ERAS and how to overcome the barriers. Int J Surg 2009;7:16-19.
38. Velanovich V, Rubinfeld I, Patton JH Jr, et al. Implementation of the National Surgical Quality Improvement Program: critical steps to success for surgeons and hospitals. Am J Med Qual 2009;24:474-9.
39. Goldmann D. Five puzzle pieces, ten cautionary notes. Intl J Care Pathw 2010;14:33-5.
40. Kurtin P, Stucky E. Standardize to excellence: improving the quality and safety of care with clinical pathways. Pediatr Clin North Am 2009;56:893-904.
41. Cheah J. Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore. Int J Qual Health Care 2000;12:403-12.
42. Obertop H. How surgeons make decisions: authority and evidence. Ann Surg 2005;242:753-6. (Pubitemid 41714053)
43. Pathways bring dramatic clinical results. Hosp Case Manag 1999;7:77-9.
44. Gleiner JA. On creativity and cookbooks, discipline and freedom. Physician Exec 1997;23:14-16.
45. Leppaniemi A. From eminence-based to error-based to evidence-based surgery. Scand J Surg 2008;97:2-3. (Pubitemid 351449958)
46. Horntrich J. Hierarchy and authority. Zentralbl Chir 1999;124 (Suppl 3):35-7. (Pubitemid 29521057)