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/ http://journalarticle.ukm.my/5590/ http://journalarticle.ukm.my/5590/1/vol%25202%2520no%25202%25202012_20.pdf

id	ukm-5590
recordtype	eprints
spelling	ukm-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/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
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/ http://journalarticle.ukm.my/5590/ http://journalarticle.ukm.my/5590/1/vol%25202%2520no%25202%25202012_20.pdf
first_indexed	2023-09-18T19:44:34Z
last_indexed	2023-09-18T19:44:34Z
_version_	1777405814244376576

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

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