Comparative Analysis of Clinical Pathway Appraisal Tools and Reporting Standards_Chinese Journal of Evidence-Based Medicine

Authors：

 CUIQi ^1,2,3,4 , HUANGDi ^2,3,4 , SONGXu-ping ^2,3,4 , TIANJin-hui ^2,3 ,  YANGKe-hu ^1,2,4

1. The First Clinical Medicine College, Lanzhou University, Lanzhou 730000, China;
2. Evidence-Based Medicine Center of Lanzhou University, School of Basic Medical Science of Lanzhou University, Lanzhou 730000, China;
3. Key Laboratory of Evidence Based Medicine and knowledge Translation of GanSu Province, Lanzhou 730000, China;
4. School of Public Health, Lanzhou University, Lanzhou 730000, China;

Corresponding author：

YANGKe-hu, Email: kehuyangebm006@126.com

Keywords：

Clinical pathway; Appraisal tool; Reporting standard; Item

DOI：

10.7507/1672-2531.20150141

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To acquaint the development process and item composition of the appraisal tools and reporting standards of clinical pathways worldwide, in order to improve the development and evaluation of clinical pathways. Methods We searched databases including PubMed, EMbase, Web of Science, CBM, CNKI and WanFang Data for articles about the appraisal tools and reporting standards of clinical pathways from inception to Jan, 2014. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and compared the difference in development process and item composition among included appraisal tools and reporting standards of clinical pathways. Results A total of 7 appraisal tools and reporting standards were included. Among them, 3 were from UK, 1 from China, 1 from Australia, 1 from Belgium, and 1 from Saudi Arabia. All included appraisal tools contained 4 to 15 domains and 14 to 99 items. Based on the comparison of different domains and items of included appraisal tools, "Clinical Pathway Management Guidelines" published by the National Health and Family Planning Commission of the People's Republic of China and the research of Vannhaecht, we identified 17 key elements of clinical pathway as follows:organizational commitment, pathway project management, format of doc, content of pathway, multidisciplinary involvement, variance management, EBM/guidelines, maintenance of pathway, accountability, patient involvement, development of pathway, additional support systems & documents, operational arrangement, implementation, outcome management, safety and organization of the care process. Conclusion Currently, the appraisal tools and reporting standards of clinical pathways are rudimentary, so we desperately needs to establish mature appraisal tool and reporting standard of clinical pathways to guide the development and implementation of clinical pathway, so as to improve their application effects in clinical practice and medical quality.

Citation： CUIQi, HUANGDi, SONGXu-ping, TIANJin-hui, YANGKe-hu. Comparative Analysis of Clinical Pathway Appraisal Tools and Reporting Standards. Chinese Journal of Evidence-Based Medicine, 2015, 15(7): 810-815. doi: 10.7507/1672-2531.20150141 Copy

1.	梁铭会,武广华,郑红,等.临床路径研究与实践概述.中国医疗管理科学,2013,4(1):17-20.
2.	中华人民共和国国家卫生和计划生育委员.卫生部关于"十二五"期间推进临床路径管理工作的指导意见.[2012-10-18].Available at:http://www.moh.gov.cn/mohyzs/s3586/201210/56150.shtml.
3.	齐德广,秦银河,李书章,等.临床路径应用于剖腹产手术效果分析.中国医院管理,2003,23(5):28-29.
4.	成翼娟,戴红霞,宁宁.临床路径在膝关节镜手术患者中的应用研究.中华护理杂志,2004,39(7):489-491.
5.	刘卫英,黄小红,赵美君.临床路径在甲状腺良性肿瘤手术患者中的应用研究.中国实用护理杂志,2005,21(4):24-25.
6.	孙红梅,宫印成,王敬梅,等.实施临床路径的应用效果研究.中国卫生资源,2008,11(1):16-18.
7.	马燕蓉,姚炯.临床路径的应用效果分析.中国病案,2012,13(3):27-28.
8.	Whittle CL,McDonald PS,Dunn L,et al.Developing the Integrated Care Pathway appraisal tool (ICPAT):A pilot study.Journal of Integrated Care Pathways,2004,8(2):77-81.
9.	McSherry R,Scott M,Williams S.The importance of information technology:a regional guide to the development,implementation and evaluation of integrated care pathways.Part 2.Journal of Integrated Pathways,2003,7(2):59-70.
10.	Croucher M.An evaluation of the quality of integrated care pathway development in the UK National Health Service.Journal of Integrated Pathways,2005,9(1):6-12.
11.	Vanhaecht K,De Witte K,Depreitere R,et al.Development and validation of a care process self-evaluation tool.Health Services Management Research,2007,20(3):189-202.
12.	王思成,刘建平,李慧,等.循证中医临床路径的报告规范.中西医结合学报2010,8(9):819-823.
13.	Hassan IS.Knowledge translation through clinical pathways:Principles for practical development and successful use.Saudi Journal of Kidney Diseases and Transplantation,2013,24(2):351.
14.	Mallock N,Braithwaite J.A template for clinical pathway design based on international evidence.Clinical Governance Bulletin,2005,5(5):2-4.
15.	De Luc KE,Whittle C.An integrated care pathway appraisal tool:a ‘badge of quality’.Journal of Integrated Pathways,2002,6(1):13-17.
16.	Vanhaecht K,Witte KD,Depreitere R,et al.Clinical pathway audit tools:a systematic review.Journal of Nursing Management,2006,14(7):529-537.
17.	Institute of Medicine (US) Committee on Quality of Health Care in America.Crossing the quality chasm:A new health system for the 21st century.Washington (DC):National Academies Press (US);2001.
18.	Vlayen J,Aertgeerts B,Hannes K,et al.A systematic review of appraisal tools for clinical practice guidelines:multiple similarities and one common deficit.International Journal for Quality in Health Care,2005,17(3):235-242.
19.	Croucher M.Evaluation of the current knowledge and awareness of the integrated care pathway tool in a local health community.Journal of Integrated Pathways,2005,9(2):51-56.
20.	吴燕子,曹祝萍,马集云,等.对临床路径应用中若干问题的探讨.中国医院管理,2008,28(5):23-24.
21.	Sarrechia M,Van Gerven E,Hermans L,et al.Variation in 17 obstetric care pathways:potential danger for health professionals and patient safety.Journal of Advanced Nursing,2013,69(2):278-285.
22.	Seys D,Deneckere S,Sermeus W,et al.The Care Process Self-Evaluation Tool:a valid and reliable instrument for measuring care process organization of health care teams.BMC health services research,2013,13(1):1-7.

1. 梁铭会,武广华,郑红,等.临床路径研究与实践概述.中国医疗管理科学,2013,4(1):17-20.
2. 中华人民共和国国家卫生和计划生育委员.卫生部关于"十二五"期间推进临床路径管理工作的指导意见.[2012-10-18].Available at:http://www.moh.gov.cn/mohyzs/s3586/201210/56150.shtml.
3. 齐德广,秦银河,李书章,等.临床路径应用于剖腹产手术效果分析.中国医院管理,2003,23(5):28-29.
4. 成翼娟,戴红霞,宁宁.临床路径在膝关节镜手术患者中的应用研究.中华护理杂志,2004,39(7):489-491.
5. 刘卫英,黄小红,赵美君.临床路径在甲状腺良性肿瘤手术患者中的应用研究.中国实用护理杂志,2005,21(4):24-25.
6. 孙红梅,宫印成,王敬梅,等.实施临床路径的应用效果研究.中国卫生资源,2008,11(1):16-18.
7. 马燕蓉,姚炯.临床路径的应用效果分析.中国病案,2012,13(3):27-28.
8. Whittle CL,McDonald PS,Dunn L,et al.Developing the Integrated Care Pathway appraisal tool (ICPAT):A pilot study.Journal of Integrated Care Pathways,2004,8(2):77-81.
9. McSherry R,Scott M,Williams S.The importance of information technology:a regional guide to the development,implementation and evaluation of integrated care pathways.Part 2.Journal of Integrated Pathways,2003,7(2):59-70.
10. Croucher M.An evaluation of the quality of integrated care pathway development in the UK National Health Service.Journal of Integrated Pathways,2005,9(1):6-12.
11. Vanhaecht K,De Witte K,Depreitere R,et al.Development and validation of a care process self-evaluation tool.Health Services Management Research,2007,20(3):189-202.
12. 王思成,刘建平,李慧,等.循证中医临床路径的报告规范.中西医结合学报2010,8(9):819-823.
13. Hassan IS.Knowledge translation through clinical pathways:Principles for practical development and successful use.Saudi Journal of Kidney Diseases and Transplantation,2013,24(2):351.
14. Mallock N,Braithwaite J.A template for clinical pathway design based on international evidence.Clinical Governance Bulletin,2005,5(5):2-4.
15. De Luc KE,Whittle C.An integrated care pathway appraisal tool:a ‘badge of quality’.Journal of Integrated Pathways,2002,6(1):13-17.
16. Vanhaecht K,Witte KD,Depreitere R,et al.Clinical pathway audit tools:a systematic review.Journal of Nursing Management,2006,14(7):529-537.
17. Institute of Medicine (US) Committee on Quality of Health Care in America.Crossing the quality chasm:A new health system for the 21st century.Washington (DC):National Academies Press (US);2001.
18. Vlayen J,Aertgeerts B,Hannes K,et al.A systematic review of appraisal tools for clinical practice guidelines:multiple similarities and one common deficit.International Journal for Quality in Health Care,2005,17(3):235-242.
19. Croucher M.Evaluation of the current knowledge and awareness of the integrated care pathway tool in a local health community.Journal of Integrated Pathways,2005,9(2):51-56.
20. 吴燕子,曹祝萍,马集云,等.对临床路径应用中若干问题的探讨.中国医院管理,2008,28(5):23-24.
21. Sarrechia M,Van Gerven E,Hermans L,et al.Variation in 17 obstetric care pathways:potential danger for health professionals and patient safety.Journal of Advanced Nursing,2013,69(2):278-285.
22. Seys D,Deneckere S,Sermeus W,et al.The Care Process Self-Evaluation Tool:a valid and reliable instrument for measuring care process organization of health care teams.BMC health services research,2013,13(1):1-7.

Previous Article
An Evidence-based Evaluation on Orphan Drug Policies
Next Article
The Association between Passive Smoking during Pregnancy and Adverse Birth Outcomes in Chinese:A Meta-analysis

Chinese Journal of Evidence-Based Medicine

Comparative Analysis of Clinical Pathway Appraisal Tools and Reporting Standards

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content