Standardize to excellence: improving the quality and safety of care with clinical pathways.
Providing practitioners with locally developed, consensus-driven, evidence-based clinical pathways can improve the quality of care by (1) incorporating national guidelines and recommendations into routine care practices, increasing the use of validated practice; 2) reducing unnecessary variation in care by a single physician or group of physicians, improving efficiency and timeliness and reducing disparities; and (3) standardizing care processes, improving safety. Pathways make it easier to identify opportunities for future improvements in care processes while simultaneously making those improvements easier to enact. Pediatric hospitalists have a vital role in creating, implementing, evaluating, and improving clinical pathways. Involving house staff enriches the scholarly components of pathway development while actively engaging them in the science and practice of quality improvement.
Kurtin
Paul
P
Rady Children's Hospital San Diego, 3020 Children's Way, MC 5064, San Diego, CA 92123, USA. pkurtin@rchsd.org
Stucky
Erin
E
D002648:Child; D019091:Critical Pathways / Q000458:organization & administration / Q000592:standards / Q000639:trends; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006776:Hospitals, Pediatric; D006801:Humans; D007396:Internship and Residency / Q000592:standards; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011785:Quality Assurance, Health Care; D011787:Quality of Health Care / Q000592:standards*; D012051:Reimbursement Mechanisms; D017751:Safety Management; D017749:Total Quality Management; D014481:United States