Mammen Cherry, Matsell Douglas G, Lemley Kevin V
Division of Nephrology, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada,
Pediatr Nephrol. 2014 Oct;29(10):1903-14. doi: 10.1007/s00467-013-2577-6. Epub 2013 Aug 18.
Modern clinical practice is increasingly delivered by teams of individuals working within an environment of rising complexity and daunting patient care loads. Clinical pathways, protocols and checklists offer a way to assure coordination, efficiency, quality and safety in this chaotic environment. In this review, we discuss some of the principal characteristics of these clinical tools, some of the challenges involved with introducing them into clinical practice and the evidence that they can positively affect patient and system outcomes. We believe pediatric nephrology, as a discipline, is ready for the widespread introduction of these important quality tools.
现代临床实践越来越多地由在日益复杂且患者护理负担艰巨的环境中工作的团队来实施。临床路径、方案和检查表为在这种混乱环境中确保协调、效率、质量和安全提供了一种方法。在本综述中，我们讨论了这些临床工具的一些主要特征、将它们引入临床实践所涉及的一些挑战以及它们可对患者和系统结果产生积极影响的证据。我们认为，作为一门学科，儿科肾脏病学已准备好广泛引入这些重要的质量工具。
