Hosp Case Manag. 1999 Jan;7(1):5-8.
A renal transplantation clinical pathway used at the Hospital of the University of Pennsylvania in Philadelphia has cut length of stay from 12 days to nine and resulted in an overall savings of $33,636 per patient. Given the hospital's average annual volume of 125 renal transplant patients, that's a savings of more than $4.2 million per year. Team members attribute much of the success of the pathway to standardized order sheets. Because the care of renal transplant patients is complicated and residents change every month, it was important to maintain documents that allowed for continuity of care. The pathway includes a sheet that provides an overview of the patient's progress during the acute care stay. The overview allows those unfamiliar with the pathway to understand what is happening with the patient.
费城宾夕法尼亚大学医院采用的肾移植临床路径将住院时间从12天缩短至9天,每位患者总体节省了33,636美元。鉴于该医院每年肾移植患者的平均数量为125例,这意味着每年节省超过420万美元。团队成员将该路径的成功很大程度归功于标准化医嘱单。由于肾移植患者的护理复杂且住院医生每月更换,因此保留能够确保护理连续性的文件非常重要。该路径包括一张表格,提供患者在急性护理住院期间的进展概况。该概况使不熟悉该路径的人能够了解患者的情况。