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Clinical pathways: development and implementation at a tertiary Hospital in Malaysia

Clinical pathways have been implemented in many healthcare systems with mix results in improving the quality of care and controlling the cost. CP is a methodology used for mutual decision making and organization of care for a well-defined group of patients within a well-defined period. In develo...

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Main Authors: Aniza Ismail,, Saperi Sulung,, Syed Mohamed AlJunid,, Nor Hamdan Mohd Yahaya,, Husyairi Harunarashid,, Oteh Maskon,, Andrea Ban,, Roslan Harun,, Ismail Mohd. Saiboon,, Ikafaizura Mohd. Nor,
Format: Article
Language:English
Published: Universiti Kebangsaan Malaysia 2012
Online Access:http://journalarticle.ukm.my/5590/1/vol%25202%2520no%25202%25202012_20.pdf
http://journalarticle.ukm.my/5590/
http://www.ijphr.ukm.my/
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spelling my-ukm.journal.55902016-12-14T06:38:54Z http://journalarticle.ukm.my/5590/ Clinical pathways: development and implementation at a tertiary Hospital in Malaysia Aniza Ismail, Saperi Sulung, Syed Mohamed AlJunid, Nor Hamdan Mohd Yahaya, Husyairi Harunarashid, Oteh Maskon, Andrea Ban, Roslan Harun, Ismail Mohd. Saiboon, Ikafaizura Mohd. Nor, Clinical pathways have been implemented in many healthcare systems with mix results in improving the quality of care and controlling the cost. CP is a methodology used for mutual decision making and organization of care for a well-defined group of patients within a well-defined period. In developing the CPs for a medical centre, several meetings had been carried out involving expert teams which consist of physicians, nurses, pharmacists and physiotherapists. The steps used to develop the pathway were divided into 5 phases. Phase 1: the introduction and team development, Phase II: determining the cases and information gathering, Phase III: establishing the draft of CP, Phase IV: is implementing and monitoring the effectiveness of CP while Phase V: evaluating, improving and redesigning of the CP. Four CPs had been developed: Total Knee Replacement (TKR), ST Elevation Myocardial Infarction (AMI), Chronic Obstructive Airways Diseases (COAD) and elective Lower Segment Caesarean Section (LSCS). The implementation of these CPs had supported the evidence-based medicine, improved the multidisciplinary communication, teamwork and care planning. However, the rotation of posts had resulted in lack of document ownership, lack of direction and guidance from senior clinical staff, and problem of providing CPs prior to admission. The development and implementation of CPs in the medical centre improved the intra and inter departmental communication, improved patient outcomes, promote patient safety and increased patient satisfaction. However, accountability and understanding of the CPs must be given more attention. Universiti Kebangsaan Malaysia 2012-07 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/5590/1/vol%25202%2520no%25202%25202012_20.pdf Aniza Ismail, and Saperi Sulung, and Syed Mohamed AlJunid, and Nor Hamdan Mohd Yahaya, and Husyairi Harunarashid, and Oteh Maskon, and Andrea Ban, and Roslan Harun, and Ismail Mohd. Saiboon, and Ikafaizura Mohd. Nor, (2012) Clinical pathways: development and implementation at a tertiary Hospital in Malaysia. International Journal of Public Health Research, 2 (2). pp. 153-160. ISSN 2232-0245 http://www.ijphr.ukm.my/
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Clinical pathways have been implemented in many healthcare systems with mix results in improving the quality of care and controlling the cost. CP is a methodology used for mutual decision making and organization of care for a well-defined group of patients within a well-defined period. In developing the CPs for a medical centre, several meetings had been carried out involving expert teams which consist of physicians, nurses, pharmacists and physiotherapists. The steps used to develop the pathway were divided into 5 phases. Phase 1: the introduction and team development, Phase II: determining the cases and information gathering, Phase III: establishing the draft of CP, Phase IV: is implementing and monitoring the effectiveness of CP while Phase V: evaluating, improving and redesigning of the CP. Four CPs had been developed: Total Knee Replacement (TKR), ST Elevation Myocardial Infarction (AMI), Chronic Obstructive Airways Diseases (COAD) and elective Lower Segment Caesarean Section (LSCS). The implementation of these CPs had supported the evidence-based medicine, improved the multidisciplinary communication, teamwork and care planning. However, the rotation of posts had resulted in lack of document ownership, lack of direction and guidance from senior clinical staff, and problem of providing CPs prior to admission. The development and implementation of CPs in the medical centre improved the intra and inter departmental communication, improved patient outcomes, promote patient safety and increased patient satisfaction. However, accountability and understanding of the CPs must be given more attention.
format Article
author Aniza Ismail,
Saperi Sulung,
Syed Mohamed AlJunid,
Nor Hamdan Mohd Yahaya,
Husyairi Harunarashid,
Oteh Maskon,
Andrea Ban,
Roslan Harun,
Ismail Mohd. Saiboon,
Ikafaizura Mohd. Nor,
spellingShingle Aniza Ismail,
Saperi Sulung,
Syed Mohamed AlJunid,
Nor Hamdan Mohd Yahaya,
Husyairi Harunarashid,
Oteh Maskon,
Andrea Ban,
Roslan Harun,
Ismail Mohd. Saiboon,
Ikafaizura Mohd. Nor,
Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
author_facet Aniza Ismail,
Saperi Sulung,
Syed Mohamed AlJunid,
Nor Hamdan Mohd Yahaya,
Husyairi Harunarashid,
Oteh Maskon,
Andrea Ban,
Roslan Harun,
Ismail Mohd. Saiboon,
Ikafaizura Mohd. Nor,
author_sort Aniza Ismail,
title Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
title_short Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
title_full Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
title_fullStr Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
title_full_unstemmed Clinical pathways: development and implementation at a tertiary Hospital in Malaysia
title_sort clinical pathways: development and implementation at a tertiary hospital in malaysia
publisher Universiti Kebangsaan Malaysia
publishDate 2012
url http://journalarticle.ukm.my/5590/1/vol%25202%2520no%25202%25202012_20.pdf
http://journalarticle.ukm.my/5590/
http://www.ijphr.ukm.my/
_version_ 1643736468105986048
score 13.211869

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