| Designing a carotid endarterectomy critical pathway for your organization. | |
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MedLine Citation:
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PMID: 10826387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Carotid endarterectomy (CEA) is one of the top-five surgical diagnosis-related groups at Keesler Medical Center. The geometric mean length of stay for CEA during fiscal year (FY) 1996 was 5.84 days (N = 41), compared with 1.79 for a benchmark facility. OBJECTIVE: Create a critical pathway to standardize care, maintain/improve patient outcomes, reduce lengths of stay, and decrease costs. METHODS: A multidisciplinary team was formed to evaluate four patient-flow options. The team decided to discharge patients directly from the intensive care unit to meet both patient and staff needs. RESULTS: The geometric mean length of stay decreased to 1.70 days (N = 54) in FY 1998, compared with 2.42 days (N = 40) in FY 1997. The cost savings ws $5,841 per case, compared with $1,684 before creation of the pathway. This represents an annual savings of more than $224,000 and a 30% reduction in length of stay. CONCLUSIONS: The CEA pathway has standardized the care received by this group of patients. By decreasing variation, processes have become routine and more efficient. |
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Authors:
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S Jano; S A Harlin |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Military medicine Volume: 165 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2000 May |
Date Detail:
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Created Date: 2000-06-08 Completed Date: 2000-06-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 385-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Keesler Medical Center, Keesler Air Force Base, MS 39534, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Benchmarking / organization & administration Cost Control Cost Savings Critical Pathways / organization & administration* Endarterectomy, Carotid / adverse effects, economics, standards* Female Hospital Costs / statistics & numerical data Hospitals, Teaching Humans Length of Stay / economics, statistics & numerical data Male Mississippi Outcome and Process Assessment (Health Care) / organization & administration Patient Care Team / organization & administration Program Development / methods Program Evaluation Quality Assurance, Health Care / organization & administration Total Quality Management / organization & administration |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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