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Critical pathways in the emergency department

M S Nelson

    Journal of Emergency Nursing
    |April 1, 1993
    PubMed
    Summary

    Developing clinical pathways (CPs) is straightforward for experienced emergency nurses. Key elements include multidisciplinary input, realistic timelines, staff education on CP value, and variance documentation for efficient patient care management.

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    Area of Science:

    • Emergency Medicine
    • Healthcare Management

    Background:

    • Rising costs of Emergency Department (ED) visits.
    • Increasing patient acuity levels.
    • Declining healthcare resources.

    Purpose of the Study:

    • To outline the development and implementation of clinical pathways (CPs) in the emergency department.
    • To highlight the benefits of CPs for efficient and effective patient care management.

    Main Methods:

    • Involve all patient care disciplines in CP development.
    • Utilize realistic, current emergency department time frames.
    • Provide thorough staff education on the value and use of CPs.
    • Ensure staff understand variance documentation procedures.

    Main Results:

    • CP development is an achievable task for experienced emergency nurses.
    • CPs establish common ground for physicians and nurses in managing patient care.
    • CPs facilitate the integration of case management into acute care settings.

    Conclusions:

    • Clinical pathways are a logical and effective tool for enhancing emergency department operations.
    • Coordinated, multidisciplinary action is essential for quality patient care amidst rising costs and resource constraints.

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