Related Experiment Video
Updated: Jun 4, 2026
08:13
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
[Are IT-based clinical pathways superior to hard-copy form?].
L Homagk1, I Wiesner, G O Hofmann
1BG-Kliniken Bergmannstrost, Klinik für Unfall- und Wiederherstellungschirurgie, Halle, Deutschland. laho@gmx.net
Zentralblatt Fur Chirurgie
|March 4, 2011
Summary
IT-based clinical pathways are effective in general surgery, improving treatment quality and documentation. Their systematic application enhances operational structure and patient care, particularly when integrated with electronic health records.
Area of Science:
- Health Informatics
- Surgical Management
- Clinical Process Optimization
Background:
- Clinical pathways are foundational for structuring surgical, interventional, and conservative treatments in hospitals.
- The integration of information technology (IT) into clinical pathways offers potential for enhanced efficiency and quality of care.
Purpose of the Study:
- To evaluate the establishment and applicability of IT-based clinical pathways in a general surgery department.
- To compare the quality of medical treatment using IT-based pathways versus traditional pathways.
Main Methods:
- A comparative study of laparoscopic surgery (cholecystectomy and hernia repair) before and after implementing IT-based clinical pathways.
- Analysis of preoperative stay, treatment duration, and patient pain perception.
- Data collected from January 2006 to October 2009.
Main Results:
- 743 patients treated with conventional pathways and 51 with IT-based pathways.
- A reduction in preoperative duration of stay was observed for patients undergoing laparoscopic hernia repair.
Conclusions:
- IT-based clinical pathways are suitable for routine implementation in general surgery.
- These pathways improve the operational structure of medical treatment and ensure continuous documentation via electronic files.
- Recommended for departments utilizing electronic health records.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:28Formats for Nursing Documentation
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
01:18Methods of Documentation I: Source-Oriented Records
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
01:17Flow Sheet
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation: