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Measuring Provider Compliance with an Institution-Based Clinical Pathway for Diverticulitis Using Radiologic
Gabriel Gonzalez1,2, Esteban Montemayor1, James M Sanders1
11 JPS Health Network , Fort Worth, Texas.
Surgical Infections
|September 5, 2018
Summary
Provider compliance with a diverticulitis clinical pathway was poor overall, highlighting a need for improved adherence to standardized management protocols for this common condition.
Area of Science:
- Gastroenterology
- Surgical Management
- Clinical Pathways
Background:
- Diverticulitis is a prevalent condition requiring standardized management strategies.
- Clinical pathways aid in diagnosing and categorizing diverticulitis severity for appropriate treatment.
- This study assessed adherence to an established institutional clinical pathway for diverticulitis management.
Purpose of the Study:
- To evaluate provider compliance with an institutional clinical pathway for acute diverticulitis.
- To identify areas of success and opportunities for improvement in pathway implementation.
Main Methods:
- A retrospective analysis of 83 patients admitted with acute diverticulitis from May 2016 to February 2017.
- Assessment of provider adherence to pathway components: radiologic classification (modified Neff [mNeff]), service line assignment, and interventions (antimicrobials, interventional radiology [IR]).
Main Results:
- Overall compliance with the diverticulitis clinical pathway was low at 10%.
- High compliance was observed for radiologic documentation (90.4%) and antimicrobial duration (69.9%).
- Lower compliance rates were noted for antimicrobial choice (20.5%) and overall adherence.
Conclusions:
- Adherence to the diverticulitis clinical pathway was suboptimal, particularly regarding antimicrobial selection.
- Areas such as radiologic documentation and antimicrobial duration showed better compliance.
- Future efforts should focus on enhancing overall provider adherence to the clinical pathway to optimize diverticulitis care.
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