Jones R A, Mullikin C W
Memorial Hospital at Easton, Maryland, Inc.
J Healthc Qual. 1994 Jul-Aug;16(4):10-3. doi: 10.1111/j.1945-1474.1994.tb00717.x.
In 1990, The Memorial Hospital at Easton, Maryland, Inc., a not-for-profit 183-bed rural community hospital, recognized a need to explore alternative patient care methods or approaches to improve the continuity of care, focus on healthier patient outcomes, and contain costs. The concept of collaborative care became the focus for patient care delivery. Multidisciplinary teams were established to coordinate patient care activities for patient populations process. Plans of care, referred to as critical pathways, identify intermediate goals and interventions, providing guidance for the patient, family, and healthcare providers as they work to achieve quality outcomes. As the patient progresses along the critical pathway, variances from the established goals are monitored and become the focus of quality reviews.
1990年，位于马里兰州伊斯顿的纪念医院是一家非营利性的拥有183张床位的乡村社区医院，它认识到有必要探索替代的患者护理方法或途径，以改善护理的连续性，关注更健康的患者治疗结果，并控制成本。协作护理的概念成为患者护理提供的重点。建立了多学科团队来协调针对患者群体流程的患者护理活动。护理计划，即关键路径，确定中间目标和干预措施，为患者、家属和医疗保健提供者努力实现高质量结果时提供指导。随着患者沿着关键路径进展，对既定目标的偏差进行监测，并成为质量审查的重点。
