title: Critical pathways as an effective tool to reduce cardiac transplantation hospitalization and charges.
abstract: A critical pathway is a component of managed care focusing on outcome-oriented, cost-effective care. This retrospective review of 74 cardiac transplants in 72 patients evaluated the influence of critical pathways on clinical management, length of hospitalization, and hospital charges. Transplant patients were divided into group 1 (n = 51), which received standard primary nursing care, and group 2 (n = 23), which received nursing case management using a critical pathway. The number of intensive care unit days for group 2 was significantly smaller than for group 1, as were duration of hospitalization and hospital charges. The critical pathway provided for systematic delivery of care and decreased length of hospitalization and charges without compromising safety or quality.
authors.affiliation: Thoracic Transplant Administration, St Louis University Health Sciences Center, USA.
authors.forename: N R
authors.initials: NR
authors.lastname: Noedel
authors.forename: J F
authors.initials: JF
authors.lastname: Osterloh
authors.forename: J A
authors.initials: JA
authors.lastname: Brannan
authors.forename: M M
authors.initials: MM
authors.lastname: Haselhorst
authors.forename: L J
authors.initials: LJ
authors.lastname: Ramage
authors.forename: D
authors.initials: D
authors.lastname: Lambrechts
mesh_terms: D019090:Case Management; D019091:Critical Pathways / Q000458:organization & administration*; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects / Q000191:economics / Q000451:nursing*; D017722:Hospital Charges; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011321:Primary Nursing; D012189:Retrospective Studies