Web-based clinical pathway for reducing practice variations in radical prostatectomy

Yu Chao Hsu, Ke Hung Tsui, Chien Lun Chen, Sheng Hui Lee, Ya Shen Wu, Phei Lang Chang

研究成果: 雜誌貢獻文章同行評審

7 引文 斯高帕斯(Scopus)

摘要

Background: A clinical pathway support system on the Internet (CPSSI) has been designed for creating and implementing a web-based clinical pathway for radical prostatectomy. This investigation assessed the effects of the web-based clinical pathway for radical prostatectomy on practice variations. Methods: From June 2002 to Jun 2003, 22 consecutive patients with localized prostate cancer who underwent radical prostatectomy were treated according to the web-based clinical pathway. The treatment results were compared with an identically sized sample of patients treated during the year before implementing the web-based clinical pathway. Variations before and following the implementation of the web-based clinical pathway for radical prostatectomy were also assessed. The CPSSI automatically measured pathway variations and length of hospital stay. Results: After implementing the web-based clinical pathway, the average hospital stay was reduced significantly (p = 0.0001). The mean number of variations also differed markedly (p = 0.0002). Conclusion: This study concludes that the CPSSI-based clinical pathway support system may provide a good tool for creating and implementing a web-based clinical pathway. After implementing the web-based clinical pathway for radical prostatectomy, practice variations and length of stay were reduced considerably. Moreover, automatically assessing the effects of web-based clinical pathway implementation can enhance the quality of patient care.
原文英語
頁(從 - 到)567-575
頁數9
期刊Chang Gung Medical Journal
31
發行號6
出版狀態已發佈 - 11月 2008
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

指紋

深入研究「Web-based clinical pathway for reducing practice variations in radical prostatectomy」主題。共同形成了獨特的指紋。

引用此