Ireson C L
University of Kentucky Hospital, Lexington, USA. clireson%
J Nurs Adm. 1997 Jun;27(6):16-23. doi: 10.1097/00005110-199706000-00008.
Refining the clinical care process to produce high-quality patient outcomes is becoming increasingly important as health care administrators strive for success in a mature managed care environment. This study examines the effect of structuring interventions and the evaluation of patient response, inherent in the critical pathway process, on clinical, length-of-hospital-stay, and financial patient outcomes. This study differs from previous critical pathway trials in that an objective measure of quality was used and the critical pathways were not introduced concurrently with a case management delivery model. The results show that critical pathways may be a significant determinant of improved quality in a managed care environment. The findings also suggest ways to improve nursing practice, nursing education, and nursing informatics.
随着医疗保健管理人员在成熟的管理式医疗环境中努力取得成功，完善临床护理流程以产生高质量的患者治疗效果变得越来越重要。本研究考察了关键路径流程中结构化干预措施及对患者反应的评估对临床、住院时长及患者财务治疗效果的影响。本研究与以往的关键路径试验不同之处在于，采用了客观的质量衡量标准，且关键路径并非与病例管理交付模式同时引入。结果表明，在管理式医疗环境中，关键路径可能是提高质量的一个重要决定因素。研究结果还提出了改进护理实践、护理教育和护理信息学的方法。
