ipl-logo

Clinical Pathway Summary

1786 Words8 Pages

Discussion
Summaries
Brown et al. (2007) developed a clinical pathway using a computer support system in an emergency department. This prospective cohort study was targeted at acute transient ischemic attacks (TIA). The clinical pathway was made with guideline recommendations for antithrombotic therapy. 75 subjects were enrolled in this study with a mean age of 67.1. There was almost an even split of males to females (50.7% to 49.3%, respectively). Physician adherence to the pathway was 85.3%. A main point the authors discuss is the physicians that did not follow the clinical pathway described being unsure or uncomfortable when it was advised to discharge the patient. At a 90-day follow up, one patient had suffered a stroke and three patients …show more content…

(2010) aimed to implement a computerized clinical decision support for physicians based on Syncope recommendations. This pre-post intervention involved a medical chart review, followed by the computerized clinical support prompting physicians to explain their decisions. Following this, another medical chart review was conducted. There was a significant increase in admission rate from pre-to-post intervention. There was no significant change in CT head imaging rates. When examining a group of physicians who saw ten or more patients during the study, it was revealed that there was a slight significant difference in admission rate from pre-to-post. When evaluating the evidence of this article, it was stated to follow Syncope recommendations and has a high level of consensus. No patient partnerships were disclosed. This study took place at Mount Sinai Medical Center, an academic medical institution. Leadership roles were present and there was audit and feedback throughout (Melnick et al., 2010). Facilitation is once again difficult to comment on as there was little information regarding characteristics. This study scores well on two of the core elements in the framework and could be considered a successful

Show More
Related

  • Kaiser Permanete: A Personal Narrative Analysis

    196 Words  | 1 Pages

    According to Ruud, Johnson, Liesinger, Grafft, and Naessens (2010) a timely follow-up visit to a primary care provider presents a critical opportunity to address the conditions that precipitated the hospitalization, to prepare the patient and family/caregivers for self-care activities, and to prevent unnecessary hospital

    Read More

  • Kaiser Permanente: Nurse-Physician Collaboration And Communication

    521 Words  | 3 Pages

    Kaiser Permanente (KP) was founded in 1945 at the height of the Great Depression (Kaiser Permanente, 2017a). Since their humble beginnings KP has strived to provide the best care possible for their patients and improve on health for their members. Kaiser has grown from a small hospital, to a large foundation by making appropriate changes and using strategic planning to ensure members receive the health care they need in terms of quality and safety. One method of strategic planning KP uses is appreciative inquiry, a method and philosophy that identifies when the facility functions at its best and builds from those situations to create a vision of the future and work towards that vision (McNamara, n.d).

    Read More

  • Congestive Heart Failure Summary

    172 Words  | 1 Pages

    Staples & Earle (2008) used a phenomenology research design, where they used a convenience sample of CHF patients to determine effective technologies for monitoring patients with heart failure admissions and mortality. The effectiveness of CHF patients through the use of telephonic assessments and interventions was implemented. Congestive Heart Failure study participants (n=591) were managed by a team of registered nurses and nurse practitioners. Data was collected using a telephone log and appropriate medical protocols were provided. Data was analyzed; determining frequency of calls, level of care required and scope of practice needed to ensure proper care of the patients.

    Read More

  • HIPAA Compliance

    421 Words  | 2 Pages

    The Health Insurance Portability and Accountability Act (HIPAA) sets security standards for safeguarding important patient health information that is being stored and maintained in analog and digital forms. As new technologies continue to facilitate the healthcare industry’s transition to paperless processes, health care providers, insurance companies, and other institutions are also growing increasingly dependent on electronic information systems to manage their HIPAA compliance programs. As a result, the safety and security of sensitive health data has become a major concern across the board. Security Risks and Challenges Today, health care professionals are using technology extensively in almost every aspect of the practice.

    Read More

  • What Is Elizabeth Eckhart Looking At The Risk Of Concussions

    1522 Words  | 7 Pages

    These results are not completely logically due to the fact of the unavailability there is of this technology, not all collegiate and youth programs are going to have access to telemedicine, making it not logical. Aside from this, the information is still reliable and sufficient. The authors organized the information all in one section, but inside of this it is still relatively simple to

    Read More

  • 30 Day Readmissions Research Paper

    1057 Words  | 5 Pages

    Overall, patients are going to be rendered more diagnosis-centered care, with an interdisciplinary look at each case inpatient, as well as outpatient. Patients will be given a work-up and plan for success, no longer as a “quick-fix”, but a long term plan of care to control chronic diseases outside of the acute care setting. Looking at a study from Connecticut, “By revamping the discharge process and working with post-acute providers, UConn Health Center/John Dempsey Hospital, Farrington, CT, reduced thirty-day heart failure readmissions from 25.1% in August 2010 to 17.1% in March 2012. Key initiatives included follow-up appointments within seven days in the hospital heart clinic, revising nursing education, adding automated dietician, social worker, pharmacy, and cardiology consults with the diagnosis order set, and collaborating with the community providers to smooth the transition of care” (“Hospital Initiative”, 2012).

    Read More

  • The Advantages Of Bedside Reporting

    101 Words  | 1 Pages

    I agree that evidence-based practice can be simple changes to improve the health and safety of our patients. Have you found that bedside reporting also reduces hospital readmissions?

    Read More

  • Affordable Care Act (ACA) Analysis

    493 Words  | 2 Pages

    According to Garment (2013), “The American Association of Medical Colleges (AAMC) estimates that the U.S. will face a physician shortage of over 90,000 physicians by 2020; a figure that’s expected to reach over 130,000 by 2025” (p.4). The increasing amount of money required for health care services from a physician is a driving force to pursue alternative ways of receiving primary care. According to The American Association of Nurse Practitioners (2013), “NPs in a physician practice potentially decreased the cost of patient visits by as much as one third, particularly when seeing patients in an independent, rather than complementary, manner” (p. 2). NPs are maintaining the standard of care and for a lesser amount for patients to pay. Mid-level practitioners are completing the same amount of work and improving the quality of care.

    Read More

  • Health Literacy Video Analysis

    462 Words  | 2 Pages

    They were all over the age of 40 years and were drawn from six study sites at urban and suburban primary care clinics in the greater Boston area. Two white, male physicians conducted interviews between

    Read More

  • Example Of An EMT Personal Statement

    2165 Words  | 9 Pages

    Many of the patients I work with have formed a bond of deep trust with their physicians over decades and generations. I have witnessed how this can allow primary care doctors to anticipate the varied needs of each patient. A close doctor-patient relationship holds a lot of value in family medicine, and my admiration for these doctors motivates me to work to continue this pattern as a

    Read More

  • Riverside Pediatric Associates Case

    872 Words  | 4 Pages

    Without strong communications, this team may not find their balance. It is important to collaborate and build this trust among the office members. The doctors can’t effectively lead change without the understanding of the staff to make the necessary

    Read More

  • Advantages And Disadvantages Of Clinical Integration In The Strategic Planning Process

    1249 Words  | 5 Pages

    Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.

    Read More

  • Patient Retention In Healthcare Organizations

    1162 Words  | 5 Pages

    Hayes and her colleagues were always quick to consult consumers for their insights and opinions. For example, prior to Boardwalk Clinic’s grand opening, the physicians test marketed the operation by offering a group of 12 Chelsea residents free examinations in exchange for their insights and opinions regarding the clinic’s décor and accommodations, processes and procedures, care delivery, and customer service (Fortenberry 2011). They also initiated an ongoing patient satisfaction surveys and acted on the findings, ensuring ongoing attention to patient wants and needs. These efforts led the physicians to believe that patient retention would be

    Read More

  • Evidence Based Practice Essay

    490 Words  | 2 Pages

    Introduction Melnyk and Fineout-Overholt (2019) defined Evidence-Based Practice (EBP) as a problem-solving approach to clinical decision-making. It involves using the best available evidence through a systematic search and critical appraisal of relevant evidence, combined with clinical expertise and patient preferences, to improve individual, group, community, and system outcomes. EBP is a lifelong approach to clinical decision-making that combines the best available evidence with clinical expertise and patient values to improve outcomes (Melnyk & Fineout-Overholt, 2019). The University of Missouri Hospital, locally known as MU Health Care, is an organization that emphasizes its mission, vision, and values, all critical elements of evidence-based practice.

    Read More

  • After-Visit Summary Kaiser Permanente

    213 Words  | 1 Pages

    Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.

    Read More

More about Clinical Pathway Summary

Open Document