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Knowledge-based quality management and clinical pathways.

Chun-Lang Chang1, Bor-Wen Cheng, Chih-Min Luo

  • 1Department of Industrial Management, National Formosa University, Yunlin, Taiwan, Republic of China. jcchang@nfu.edu.tw

Quality Management in Health Care
|February 4, 2006
PubMed
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Many hospitals struggle with effective clinical pathway implementation. This study identified key reasons for improper application and recommends knowledge- and management-based clinical pathway designs for improved healthcare.

Area of Science:

  • Healthcare Management
  • Clinical Pathway Design
  • Knowledge Management

Background:

  • Despite 65% of Taiwanese hospitals claiming clinical pathway adoption, effective implementation remains a challenge.
  • Misunderstandings in clinical pathway analysis may stem from survey methodologies.

Purpose of the Study:

  • To identify reasons behind the ineffective or inappropriate application of clinical pathway designs in hospitals.
  • To propose improvements for clinical pathway implementation.

Main Methods:

  • Utilized in-depth interviews and Senge's system archetype to analyze clinical pathway ineffectiveness.
  • Developed knowledge-based clinical pathways using Drucker's 4 dimensions of knowledge management.
  • Employed the Delphi method with 13 experts to establish 20 knowledge-based clinical pathway guidelines.

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Main Results:

  • Identified specific reasons for the improper or inappropriate application of clinical pathway designs.
  • Established 20 guidelines for knowledge-based clinical pathways.

Conclusions:

  • Recommends the application of knowledge- and management-based clinical pathway designs.
  • Suggests a framework for more effective clinical pathway implementation in hospitals.