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Related Experiment Videos

Developing evidence-based practice guidelines and pathways: the experience at the local hospital level

N L Greengold1, S R Weingarten

  • 1Applied Health Services Research, Cedars-Sinai Health System, Los Angeles, CA 90048, USA.

The Joint Commission Journal on Quality Improvement
|June 1, 1996
PubMed
Summary

Cedars-Sinai developed the Clinical Pathway Constructor (CPC) software to help hospitals create evidence-based clinical guidelines. This tool aims to involve clinicians in pathway development and improve patient care outcomes.

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Area of Science:

  • Health Informatics
  • Clinical Decision Support Systems
  • Evidence-Based Medicine

Background:

  • Local development of evidence-based clinical practice guidelines enhances clinician implementation.
  • Cedars-Sinai Health System piloted the Clinical Cost-Reduction System (CCRS) software for length-of-stay guidelines in 1994.
  • Ongoing data collection assesses CCRS's impact on length of stay and patient outcomes.

Purpose of the Study:

  • To develop a software system that presents organized medical information to hospitals.
  • To actively involve clinicians in the development of evidence-based clinical pathways.
  • To support hospitals in designing their own clinical pathways.

Main Methods:

  • The Clinical Pathway Constructor (CPC) is a computerized grid for writing clinical pathways.

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  • It is supported by a database of information for selected clinical conditions and care categories.
  • Multidisciplinary teams review evidence and determine guidelines to encode into pathways.

    • Main Results:

    • The CPC program allows multidisciplinary teams to design their own evidence-based pathways.
    • The software aids in developing appropriate guidelines, rather than legislating them.
    • Data on the program's "portability" are still being collected.

    Conclusions:

    • The CPC software facilitates the creation of customized, evidence-based clinical pathways.
    • It empowers multidisciplinary teams to tailor guidelines to their specific needs.
    • Further evaluation is needed to assess the program's broader applicability and impact.