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The Effects of Clinical Pathways on Professional Practice, Patient Outcomes, Length of Stay, and Hospital Costs: Cochrane Systematic Review and Meta-Analysis

Citation

Rotter, T and Kinsman, L and James, E and Machotta, A and Willis, J and Snow, P and Kugler, J, The Effects of Clinical Pathways on Professional Practice, Patient Outcomes, Length of Stay, and Hospital Costs: Cochrane Systematic Review and Meta-Analysis, Evaluation and The Health Professions, 35, (1) pp. 3-27. ISSN 0163-2787 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 The Authors

DOI: doi:10.1177/0163278711407313

Abstract

This paper is a summary version of the previously published Cochrane review. It may increase the reach of the topic to health researchers and practitioners and encourage further discussion. The systematic review aims to summarize the evidence and assess the effect of clinical pathways on professional practice, patient outcomes, length of hospital stay, and hospital costs. The authors searched the Database of Abstracts of Reviews of Effectiveness, the Effective Practice and Organisation of Care Register, the Cochrane Central Register of Controlled Trials and bibliographic databases including MEDLINE, EMBASE, CINAHL, NHS EED, and Global Health. Twenty-seven studies considering a total of 11,398 participants were included for analysis. The main results were a reduction in in-hospital complications (odds ratio 0.58: 95% CI [0.36, 0.94] and improved documentation (odds ratio 11.95: 95% CI [4.72, 30.30]) associated with clinical pathways. Considerable variation in study design and settings prevented statistical pooling of results for length of stay (LOS) and hospital costs. The authors concluded that clinical pathways are associated with reduced in-hospital complications and improved documentation.

Item Details

Item Type:Refereed Article
Keywords:clinical pathways; cochrane systematic review; meta analysis; patient outcomes; hospitals
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health Care Administration
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Nursing
Author:Kinsman, L (Professor Leigh Kinsman)
ID Code:97789
Year Published:2012
Web of Science® Times Cited:34
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2015-03-11
Downloads:0

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