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• W2022080751 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1997Use of the Transurethral Prostatectomy Clinical Path to Monitor Health Outcomes Phei Lang Chang, Shih Tsung Huang, Ming Li Hsieh, Ta Min Wang, Jennifer I. Chen, Huei Huang Kuo, Yi Chou Chuang, and Chau Hsiung Chang Phei Lang ChangPhei Lang Chang More articles by this author , Shih Tsung HuangShih Tsung Huang More articles by this author , Ming Li HsiehMing Li Hsieh More articles by this author , Ta Min WangTa Min Wang More articles by this author , Jennifer I. ChenJennifer I. Chen More articles by this author , Huei Huang KuoHuei Huang Kuo More articles by this author , Yi Chou ChuangYi Chou Chuang More articles by this author , and Chau Hsiung ChangChau Hsiung Chang More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65317-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the effect on cost and medical care quality of use of the transurethral prostatectomy clinical path. Materials and Methods: Results in 100 patients treated when the transurethral prostatectomy clinical path was used were compared to those of 100 treated by the same physicians before implementation of this path. Results: After implementation of the transurethral prostatectomy clinical path the length of hospital stay was significantly decreased from 5.9 to 5.0 days (p <0.01) and Foley catheterization time was significantly decreased from 3.13 to 2.84 days (p <0.01). Antibiotics were routinely used from the day before surgery to the day of hospital discharge as required by patient conditions. Therefore, a shorter hospital stay will significantly decrease the use of antibiotics. After implementation of the clinical path the average admission charges were decreased significantly by 17% (p <0.01). Although some results from use of this path will not significantly affect costs, they will reflect some quality improvement. The effect of clinical path implementation on length of hospital stay between patients treated by junior and senior attending physicians was not significant. However, there was a statistically significant difference (p <0.01) between results obtained by junior and senior attending physicians regarding average admission charges. Conclusions: Implementation of the transurethral prostatectomy clinical path can improve health care outcome by decreasing length of stay and admission charges, and improving quality of medical care, particularly for patients treated by junior attending physicians. References 1 : Critical pathway methodology: effectiveness in congenital heart surgery.. Ann. Thorac. Surg.1994; 58: 57. Google Scholar 2 : MD-directed critical pathways: it's time.. Hospitals1992; 66: 56. Google Scholar 3 : A multidisciplinary approach to critical path development: a valuable CQI tool.. J. Nurs. Care Qual.1994; 8: 38. Google Scholar 4 : Clinical benchmarking improves clinical paths: experience with coronary artery bypass grafting.. Jt. Comm. Qual. Improv.1994; 20: 267. 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Google Scholar 13 : Applying critical pathways to neurosurgery patients at the University of Michigan Medical Center.. Qual. Lett. Healths Lead.1993; 5: 8. Google Scholar 14 : Psychological Statistics. New York: John Wiley & Sons1969: 54. Google Scholar 15 : Critical paths: a tool for clinical process management.. JAHIMA1993; 64: 48. Google Scholar 16 : Critical path method: an important tool for coordinating clinical care.. Jt. Commission J. Qual. Improv.1993; 19: 235. Google Scholar 17 : Critical pathways-the pivotal tool.. J. Cardiovasc. Nurs.1993; 7: 30. Google Scholar 18 : Clinical pathways seen as opportunity to integrate traditional QA with CQI.. QI/TQM1992; 2: 49. Google Scholar 19 : The relevance of practical experience to American hospitals (commentary).. Front. Health Serv. Manage.1993; 10: 48. Google Scholar Department of Urology, Administration Center and Superintendent, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 157Issue 1January 1997Page: 177-183 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Phei Lang Chang More articles by this author Shih Tsung Huang More articles by this author Ming Li Hsieh More articles by this author Ta Min Wang More articles by this author Jennifer I. Chen More articles by this author Huei Huang Kuo More articles by this author Yi Chou Chuang More articles by this author Chau Hsiung Chang More articles by this author Expand All Advertisement Loading ..." @default.
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