Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Critical Pathways”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,009 records · Page 56Linked to original sources
PubMed1996

Nutrition support clinical pathways.

With growing concerns over cost containment, hospitals are using clinical pathways to standardize health care and reduce costs. Clinical pathways designate the actions and services that patients should receive at specified time intervals throughout the hospital stay. Although most clinical pathways have been created for specific diseases or diagnoses, the nutrition support team at Tallahassee Memorial Regional Medical Center has developed clinical pathways for enteral and parenteral therapies. These pathways allow the team to track patient outcomes related to nutrition and to document variances when provisions fall outside the pathways. Variances are tallied on a quarterly basis and reported to the hospital Nutrition Support Committee. As data collection continues, trends emerge that guide the team to take appropriate corrective actions. Patient care is continuosly improved by incorporating these corrective actions into the pathways.

Cost Control↗
PubMed2004

Convergent, RIC-8-dependent Galpha signaling pathways in the Caenorhabditis elegans synaptic signaling network.

We used gain-of-function and null synaptic signaling network mutants to investigate the relationship of the G alpha(q) and G alpha(s) pathways to synaptic vesicle priming and to each other. Genetic epistasis studies using G alpha(q) gain-of-function and null mutations, along with a mutation that blocks synaptic vesicle priming and the synaptic vesicle priming stimulator phorbol ester, suggest that the G alpha(q) pathway generates the core, obligatory signals for synaptic vesicle priming. In contrast, the G alpha(s) pathway is not required for the core priming function, because steady-state levels of neurotransmitter release are not significantly altered in animals lacking a neuronal G alpha(s) pathway, even though these animals are strongly paralyzed as a result of functional (nondevelopmental) defects. However, our genetic analysis indicates that these two functionally distinct pathways converge and that they do so downstream of DAG production. Further linking the two pathways, our epistasis analysis of a ric-8 null mutant suggests that RIC-8 (a receptor-independent G alpha guanine nucleotide exchange factor) is required to maintain both the G alpha(q) vesicle priming pathway and the neuronal G alpha(s) pathway in a functional state. We propose that the neuronal G alpha(s) pathway transduces critical positional information onto the core G alpha(q) pathway to stabilize the priming of selected synapses that are optimal for locomotion.

Animals↗
PubMed1998

Care pathways. Paving the way.

Care pathways are most commonly used in acute trusts and private hospitals, according to a survey by the National Pathway Association. Orthopaedics is the specialty most likely to employ pathways, followed by surgery, medicine and care of elderly people. A third of respondents found the tool helped control costs, but a similar number found it did not. Setting and implementing standards of care and improving communication between staff are the most commonly reported benefits of using care pathways.

Community Health Services↗
PubMed2000

Mental health. For good measure.

A trust which has developed care pathways for eating disorders, acute mental health admissions and acute psychosis over three years found the process increased awareness of best practice throughout the team. Patients and carers are more aware of what to expect. The development process increases staff understanding of the evidence base for much of their work. Clinicians should be encouraged to take responsibility for development of pathways.

Benchmarking↗
PubMed2001

Enhance pathways to make patient central focus.

With the use of electronic pathway software, case managers at Vanderbilt University Medical Center in Nashville, TN, have been able to add unique order sets to their standard diagnosis pathways, says Irene Hatcher, MSN, RNC, coordinator of case management and clinical pathway development. "A nursing diagnosis of 'spiritual distress' is rarely, if ever, seen on a care plan, even though it may be the most frequently seen problem," she says in a report on the subject. Her facility has begun including spiritual needs order sets to its pathways.

Academic Medical Centers↗
PubMedDate not supplied

Case management: a heritage more than a century old.

The roots of case management are more than a century deep. This innovative approach to managing, coordinating, expediting, and facilitating patient care is neither new nor exclusively limited to nursing practice. A review of the historic literature reveals that the evolution of case management is a byproduct of creative healthcare efforts associated with different disciplines, including nursing, medicine, mental health, public health, and social work. This article presents a historical review of significant milestones in the evolution of the field of case management and its related tools (i.e., clinical pathways).

Case Management↗