Integrated Clinical Pathway of Transurethral Resection of the Prostate: Impact on Clinical Quality, Cost, and Patient and Staff Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/152709
Type:
Presentation
Title:
Integrated Clinical Pathway of Transurethral Resection of the Prostate: Impact on Clinical Quality, Cost, and Patient and Staff Satisfaction
Abstract:
Integrated Clinical Pathway of Transurethral Resection of the Prostate: Impact on Clinical Quality, Cost, and Patient and Staff Satisfaction
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Khowaja, Khurshid, PHD
P.I. Institution Name:The Aga Khan University Hospital
Title:Director of Nursing
The central focus of this study is an investigation into how the implementation of a clinical pathway for the surgical procedure of transurethral resection of the prostate (TURP) impacted on clinical quality, cost, and patient and staff satisfaction at the Aga Khan University Hospital (AKUH) in Pakistan. Clinical pathways are designed to streamline patient care delivery, maximize efficiency, minimize cost, and improve the care outcome. They address variability in practice by having providers agree prospectively on a common regimen of clinical intervention. This study utilized a quasi-experimental, non-equivalent control group study design to answer the research questions. The study population consisted of a convenience sample of patients undergoing surgery for TURP (control and experimental), recruited to measure satisfaction among patients, and of health team members, recruited to measure satisfaction among nurses, physicians and others involved in the delivery of care to the patients with a TURP surgical intervention. The findings showed a significant difference in the variances and outcomes as a result of the TURP clinical pathway intervention. The results showed that TURP clinical pathway intervention significantly improved all twelve nursing- and physician-related variances and outcomes, such as complete documentation, delayed consultation, delayed education and other variances. Clinical pathway intervention also significantly reduced hospital-related variances, and post-operative problems such as electrolyte imbalance, phlebitis, constipation, and urinary tract infection (UTI). The findings also showed significant improvement in patient and staff satisfaction due to clinical pathway utilization. However, no significant difference was observed in patient, hospital or financial related variances. The keys to a successful clinical pathway program lie in continued support and acceptance from clinicians, support and leadership from senior management, and the presence of a dedicated team of case managers, doctors and paramedical professionals.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIntegrated Clinical Pathway of Transurethral Resection of the Prostate: Impact on Clinical Quality, Cost, and Patient and Staff Satisfactionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152709-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Integrated Clinical Pathway of Transurethral Resection of the Prostate: Impact on Clinical Quality, Cost, and Patient and Staff Satisfaction</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Khowaja, Khurshid, PHD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Aga Khan University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">khurshid.khowaja@aku.edu</td></tr><tr><td colspan="2" class="item-abstract">The central focus of this study is an investigation into how the implementation of a clinical pathway for the surgical procedure of transurethral resection of the prostate (TURP) impacted on clinical quality, cost, and patient and staff satisfaction at the Aga Khan University Hospital (AKUH) in Pakistan. Clinical pathways are designed to streamline patient care delivery, maximize efficiency, minimize cost, and improve the care outcome. They address variability in practice by having providers agree prospectively on a common regimen of clinical intervention. This study utilized a quasi-experimental, non-equivalent control group study design to answer the research questions. The study population consisted of a convenience sample of patients undergoing surgery for TURP (control and experimental), recruited to measure satisfaction among patients, and of health team members, recruited to measure satisfaction among nurses, physicians and others involved in the delivery of care to the patients with a TURP surgical intervention. The findings showed a significant difference in the variances and outcomes as a result of the TURP clinical pathway intervention. The results showed that TURP clinical pathway intervention significantly improved all twelve nursing- and physician-related variances and outcomes, such as complete documentation, delayed consultation, delayed education and other variances. Clinical pathway intervention also significantly reduced hospital-related variances, and post-operative problems such as electrolyte imbalance, phlebitis, constipation, and urinary tract infection (UTI). The findings also showed significant improvement in patient and staff satisfaction due to clinical pathway utilization. However, no significant difference was observed in patient, hospital or financial related variances. The keys to a successful clinical pathway program lie in continued support and acceptance from clinicians, support and leadership from senior management, and the presence of a dedicated team of case managers, doctors and paramedical professionals.</td></tr></table>en_GB
dc.date.available2011-10-26T11:46:46Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:46:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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