Document Detail


The effectiveness of a "critical pathway" in the management of laryngectomy patients.
MedLine Citation:
PMID:  11002325     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This is a retrospective review of medical and financial records to test the hypothesis that the use of a critical pathway specifically designed for the management of laryngectomy patients will result in improved patient care, decreased length of hospitalization, and optimal allocation of resources. METHODS: Thirty patients undergoing laryngectomy before the implementation of the laryngectomy critical pathway were compared with 30 patients after implementation of the pathway. Clinical outcomes, length of hospitalization, and cost analyses were performed. RESULTS: Adjusting for two outliers, the average length of stay for pathway patients was 7.3 days vs 12 days for prepathway patients. A total estimated cost-savings of $204,000 was ultimately achieved. CONCLUSIONS: Our laryngectomy critical pathway has resulted in improved patient care and optimized allocation of medical resources.
Authors:
R J Levin; R E Ferraro; S R Kodosky; F G Fedok
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  22     ISSN:  1043-3074     ISO Abbreviation:  Head Neck     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-10-27     Completed Date:  2000-11-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  694-9     Citation Subset:  IM    
Copyright Information:
Copyright 2000 John Wiley & Sons, Inc.
Affiliation:
Department of Surgery, Section of Otolaryngology/Head & Neck Surgery, Penn State Geisinger Health System, Penn State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. rlevin9999@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cost-Benefit Analysis
Critical Pathways / standards
Female
Humans
Laryngectomy / economics*,  standards*
Length of Stay / statistics & numerical data
Male
Middle Aged
Patient Care / economics,  statistics & numerical data
Postoperative Complications
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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