Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Critical pathways for head and neck surgery. Development and implementation

J Cohen1, M Stock, P Andersen

  • 1Department of Otolaryngology/Head and Neck Surgery, Oregon Health Sciences University, Portland, USA.

Archives of Otolaryngology--Head & Neck Surgery
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Zenker's diverticulostomy with cricopharyngeal myotomy: the endoscopic approach.

Surgical endoscopy·2001
Same author

Microvascular reconstruction and tracheotomy are significant determinants of resource utilization in head and neck surgery.

Archives of otolaryngology--head & neck surgery·2000
Same author

Acid/pepsin promotion of carcinogenesis in the hamster cheek pouch.

Archives of otolaryngology--head & neck surgery·2000
Same author

The long-term indwelling tracheoesophageal prosthesis for alaryngeal voice rehabilitation.

Archives of otolaryngology--head & neck surgery·1999
Same author

Fourth branchial arch sinus: clinical presentation, diagnostic workup, and surgical treatment.

The Laryngoscope·1999
Same author

Early postoperative calcium levels as predictors of hypocalcemia.

The Laryngoscope·1998
Same journal

Pathology quiz case 2.

Archives of otolaryngology--head & neck surgery·2014
Same journal

Pathology quiz case 1.

Archives of otolaryngology--head & neck surgery·2014
Same journal

Radiology quiz case 1: diagnosis.

Archives of otolaryngology--head & neck surgery·2013
Same journal

Pair of red and green macaws.

Archives of otolaryngology--head & neck surgery·2013
Same journal

Pathology quiz case 2: diagnosis.

Archives of otolaryngology--head & neck surgery·2013
Same journal

About this journal.

Archives of otolaryngology--head & neck surgery·2013
See all related articles

Critical pathways for head and neck cancer care significantly reduced hospital stays and costs. These pathways also improved care coordination and simplified problem identification.

Area of Science:

  • Oncology
  • Healthcare Management
  • Surgical Care

Background:

  • Head and neck cancer care involves complex treatment protocols.
  • Optimizing patient pathways is crucial for efficient healthcare delivery.

Purpose of the Study:

  • To design, implement, and evaluate the effectiveness of four new critical pathways for head and neck oncological care.

Main Methods:

  • A before-after trial was conducted at a tertiary referral academic institution.
  • Sixty-eight patients undergoing head and neck oncological surgery or chemotherapy were included.
  • Four critical pathways were implemented: chemotherapy, clean surgery, clean-contaminated surgery, and clean-contaminated surgery with flap reconstruction.

Main Results:

Related Experiment Videos

  • The length of stay decreased by 1.5 days for clean-contaminated surgery without flap reconstruction, with costs reduced by $7407 per patient.
  • The length of stay decreased by 1.6 days for clean-contaminated surgery with flap reconstruction, with costs reduced by $9845 per patient.
  • 13% of patients experienced a prolonged length of stay while on a critical pathway.

Conclusions:

  • Critical pathway implementation led to reduced hospital length of stay and lower hospitalization costs.
  • These pathways enhanced patient care coordination and documentation.
  • Variance tracking facilitated problem identification and correction in head and neck cancer care.