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Process-oriented critical pathways in inpatient psychiatry: our first year
S W Brown1, A Z Griepp, S Buckley
1Inpatient Psychiatry, Unity Health System, St. Mary's Hospital, Rochester, New York, USA.
Summary
Critical pathway methodology, a tool for patient care, was successfully adapted for acute psychiatric inpatient populations. This approach enhances patient care and optimizes resource use, despite ongoing staff education needs.
Area of Science:
- Healthcare management
- Psychiatric nursing
- Clinical pathways
Background:
- Critical pathway methodology is widely recognized but underutilized in psychiatric settings.
- Acute inpatient psychiatric care presents unique challenges for standardized care planning.
Purpose of the Study:
- To adapt and implement critical pathway methodology in an acute inpatient psychiatric setting.
- To evaluate the success, benefits, and obstacles of using critical pathways in psychiatry.
Main Methods:
- An interdisciplinary team adapted the critical pathway concept for acute inpatient psychiatric patients.
- Implementation at St. Mary's Hospital in Rochester, New York.
Main Results:
- The adapted critical pathway demonstrated relative success in enhancing patient care and optimizing resource use.
- Staff perceive the critical pathway as a viable tool for improving psychiatric care delivery.
Conclusions:
- Adapting critical pathways is feasible and beneficial for acute inpatient psychiatric populations.
- Ongoing staff education and pathway modification are necessary for sustained success and improved patient outcomes.