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Clinical pathway audit tools: a systematic review.

Kris Vanhaecht1, Karel De Witte, Roeland Depreitere

  • 1Centre for Health Services and Nursing Research, School of Public Health, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium. kris.vanhaecht@med.kuleuven.be

Journal of Nursing Management
|September 29, 2006
PubMed
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Clinical pathway audit tools help identify well-organized care processes. The Integrated Care Pathway Appraisal Tool is most suitable for assessing clinical pathway documents, though further research is needed.

Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Clinical Process Evaluation

Background:

  • Clinical pathways are widely adopted globally, yet their conceptualization and impact remain subjects of debate.
  • Existing literature highlights a lack of clarity surrounding the definition and effectiveness of clinical pathways.
  • A comprehensive search strategy was employed, including major databases and expert consultations.

Purpose of the Study:

  • To evaluate the efficacy of clinical/care pathway audit tools in identifying characteristics of effective care processes.
  • To determine which audit tools are most appropriate for assessing the quality of clinical pathway documentation.

Main Methods:

  • A systematic review was conducted on existing clinical pathway audit tools.
  • Content analysis was used to identify and categorize key characteristics of well-organized care processes.

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  • Comparative assessment of seven selected audit tools against identified characteristics.

    • Main Results:

    • Seventeen distinct characteristics of well-organized care processes were identified through content analysis.
    • The Integrated Care Pathway Appraisal Tool emerged as the most appropriate instrument for evaluating clinical pathway documents.
    • A significant gap in research concerning the validity and application of pathway audit tools was noted.

    Conclusions:

    • Despite widespread use, clinical pathway audit tools are under-researched, indicating a need for further investigation.
    • The ambiguity surrounding clinical pathways necessitates the development and validation of diverse audit tools.
    • Future research should focus on the construct and criterion validity of these tools to elucidate their role in improving patient care.