[The results of the experimental prospective study on the effectiveness and efficiency of the implementation of clinical pathways].
Our study was undertaken to determine how the use of care pathways in hospital affected the quality of the care of the patients. We performed a cluster-randomized trial. The use of diagnostic procedures and of medical treatments was more appropriate in the care pathways group, as well as the discharge process. As a consequence the outcomes indicators adopted in our study showed better performances in the care pathways group when compared to the usual care group. Our study added evidences on the value of clinical pathways that can be effectively used to improve the quality of hospital care. The use of CP helped to create a constant dialogue within the clinicians, ensured that important areas of treatment were not overlooked and unnecessary delays were prevented by timely interventions. We think that our results are reliable because we adopted a cluster-randomized controlled trial design that is widely accepted as the most reliable method of determining effectiveness of complex interventions in healthcare.
Panella
M
M
Dipartimento di Medicina Clinica e Sperimentale, Facoltà di Medicina e Chirurgia, Università degli Studi del Piemonte Orientale Amedeo Avogadro, Novara, Italia. panella@med.unipmn.it
Marchisio
S
S
Apicella
A
A
Lazzarino
L
L
Dardanelli
L
L
Demarchi
M L
ML
Fraternali
P
P
Gardini
A
A
Noto
G
G
Tangolo
D
D
Di Stanislao
F
F
D000368:Aged; D000369:Aged, 80 and over; D019091:Critical Pathways / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies