title: Role of nursing personnel in implementing clinical pathways and decreasing hospital costs for major vascular surgery.
abstract: Collaboration with key nursing personnel is essential to successfully implement clinical pathways, establish a dedicated vascular wing, and achieve significant hospital cost savings while still maintaining quality care with low morbidity and mortality rates. Key nursing personnel met once a month during a 1-year period with vascular surgeons, hospital administrators, and health care advisors to plan strategies to develop clinical pathways and establish a dedicated vascular ward. The pathways were then implemented. We compared morbidity, mortality, readmission rates, adn hospital costs among two groups of patients admitted for major vascular surgery. Nursing personnel, attending staff, and surgical residents found that treating patients who had undergone major vascular surgery was more straightforward and efficient after clinical pathways and a dedicated vascular wing were established. In addition, there were no significant differences between the groups in terms of overall mortality or pulmonary, neurologic, or cardiac complications despite shorter hospital stay and decreased hospital costs. Also there were no significant differences in readmission rates within 30 days.
authors.affiliation: Section of Vascular Surgery, Pennsylvania Hospital/Thomas Jefferson Medical College, Philadelphia, USA.
authors.forename: K D
authors.initials: KD
authors.lastname: Calligaro
authors.forename: P
authors.initials: P
authors.lastname: Miller
authors.forename: M J
authors.initials: MJ
authors.lastname: Dougherty
authors.forename: C A
authors.initials: CA
authors.lastname: Raviola
authors.forename: D A
authors.initials: DA
authors.lastname: DeLaurentis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019091:Critical Pathways / Q000592:standards*; D005260:Female; D017721:Hospital Costs; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D014652:Vascular Diseases / Q000191:economics / Q000451:nursing / Q000601:surgery*