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成功实施全院范围基于证据的心脏病患者管理临床路径系统:ACAP项目经验。

Success in implementing a hospital-wide evidence-based clinical pathways system for the management of cardiac patients: the ACAP program experience.

作者信息

Aziz Emad F, Pratap Balaji, De Benedetti Zunino Maria E, Tormey Deborah, Javed Fahad, Frankenberger Olivier, Hong Mun K, Herzog Eyal

机构信息

Division of Cardiology, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, NY.

出版信息

Crit Pathw Cardiol. 2011 Mar;10(1):22-8. doi: 10.1097/HPC.0b013e3182053331.

DOI:10.1097/HPC.0b013e3182053331
PMID:21562371
Abstract

There is robust evidence to support the concept that critical pathways, derived from evidence-based guidelines, are an effective strategy for bridging the gap between published guidelines and clinical practice. It was with this idea in mind that in 2004 we developed an innovative novel program at our institution, that is, the "Advanced Cardiac Admission Program." The Advanced Cardiac Admission program consists of tools and strategies for implementing American College of Cardiology or American Heart Association guidelines into daily clinical practice. The program is composed of 8 novel critical pathways for the management of cardiac patients. In this article, we describe our experience in successfully implementing this program at our institutions.

摘要

有充分的证据支持这样一种观念,即源自循证指南的关键路径是弥合已发表指南与临床实践之间差距的有效策略。正是基于这一想法,2004年我们在本机构开展了一项创新项目,即“高级心脏科入院项目”。高级心脏科入院项目包含将美国心脏病学会或美国心脏协会指南应用于日常临床实践的工具和策略。该项目由8条用于管理心脏病患者的全新关键路径组成。在本文中,我们描述了在本机构成功实施该项目的经验。

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