Improvements in the efficiency of care after implementing a clinical-care pathway for transurethral prostatectomy

British Journal of Urology
P L ChangK H Tsui

Abstract

To investigate the efficiency of care, length of hospital stay and admission charges after implementing a clinical-care pathway for transurethral prostatectomy (TURP). Changes in the length of hospital stay and admission charges were identified by comparing a series of 100 patients undergoing TURP and treated after implementing a clinical-care pathway with 100 patients treated by the same physicians before implementation. After implementing the care pathway, the mean length of hospital stay and admission charges were significantly lower (P < 0.01). The shorter length of stay was caused by a significant reduction (P < 0.05) in patient-related psychological/social delay after implementation. The number of laboratory tests and use of pharmacological agents were also significantly lower (P < 0.001) after implementation, with the decreases in these last variables significantly greater (P < 0.001) among junior physicians. The advantages of the TURP clinical-care pathway were the shorter hospital stay, arising from reduced patient-related psychological or social delay, and reduced admission charges consequent on the decreased use of laboratory tests and drugs, particularly for patients treated by junior physicians. These results sugge...Continue Reading

References

Nov 1, 1992·Critical Care Nursing Quarterly·E E Latini, W Foote
Nov 1, 1991·Orthopaedic Nursing·E M Metcalf
Mar 1, 1991·Nursing Management·K K Giuliano, C E Poirier
Sep 1, 1990·Archives of Internal Medicine·S H Woolf
Jan 5, 1989·The New England Journal of Medicine·D M Berwick
Jul 1, 1994·Journal of Nursing Care Quality·D Heacock, R A Brobst
Jul 1, 1993·The Joint Commission Journal on Quality Improvement·P A Hofmann
Jan 1, 1997·The Journal of Urology·P L ChangC H Chang

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