A Method to Evaluate Critical Factors for Successful Implementation of Clinical Pathways

Applied Clinical Informatics
Wei Dong, Zhengxing Huang

Abstract

Clinical pathways (CPs) have been viewed as a multidisciplinary tool to improve the quality and efficiency of evidence-based care. Despite widespread enthusiasm for CPs, research has shown that many CP initiatives are unsuccessful. To this end, this study provides a methodology to evaluate critical success factors (CSFs) that can aid healthcare organizations to achieve successful CP implementation. This study presents a new approach to evaluate CP implementation CSFs, with the aims being: (1) to identify CSFs for implementation of CPs through a comprehensive literature review and interviews with collaborative experts; (2) to use a filed study data with a robust fuzzy DEMATEL (the decision making trial and evaluation laboratory) approach to visualize the structure of complicated causal relationships between CSFs and obtain the influence level of these factors. The filed study data is provided by ten clinical experts of a Chinese hospital. 23 identified CSF factors which are initially identified through a review of the literature and interviews with collaborative experts. Then, a number of direct and indirect relationships are derived from the data such that different perceptions can be integrated into a compromised cause and eff...Continue Reading

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Citations

Apr 11, 2018·Head & Neck·Hyungju KwonNam Sun Paik
Feb 28, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Gianmauro NumicoOscar Bertetto
Apr 16, 2021·BMJ Health & Care Informatics·Valentina Lichtner, Melissa Baysari

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