Implementation of clinical pathways in Malaysia

Can clinical pathways improve the quality of care?

Aniza Ismail, Saperi Sulong, A. Zafar, Syed Mohamed Al-Junid Syed Junid, I. Wan Norlida, Oteh Maskon, H. Husyairi, Ismail Sagap, Y. Nor Hamdan, Faizal Amri Hamzah, Y. S. Mohammad Hassan, Hamat Hamdi Che Hassan

Research output: Contribution to journalArticle

Abstract

Objective: A clinical pathway is a multidisciplinary plan of care based on best clinical practice which is designed to minimize delay, optimize efficiency and maximize quality of care for patients. This study assesses the impact of the implementation of clinical pathways in February 2009 at Universiti Kebangsaan Medical Centre (UKMMC), a teaching hospital in Malaysia. Design: This was a non randomized, cross-sectional comparison study in hospitalized patients at UKMMC. Materials and Methods: The study obtained data for patients admitted to UKMMC from June 2008 to December 2010 with diagnosis of ST-elevated myocardial infarction (STEMI), elective lower segment caesarean section (LSCS) and elective total knee replacement (TKR). Patients admitted after February 2009 were managed using clinical pathways (CP group) whereas patients admitted from June 2008 to January 2009 were included in the control group. Differences between the groups were assessed in terms of length of stay (LOS), while quality of care was measured by three month complication and readmission rates. Results: The study included 255 patients managed by CP and 292 control patients. CP group had lower mean LOS compared to the control group for LSCS (4.04 vs. 4.99 days, p <0.001) and STEMI patients (5.52 vs. 8.15 days, p <0.001) patients. There was no statistically significant increase in rates of complication or readmission in the CP group compared to the controls for all three conditions. Conclusions: The implementation of CPs at UKMMC was associated with improved performance without reducing quality of care.

Original languageEnglish
Pages (from-to)47-50
Number of pages4
JournalInternational Medical Journal
Volume23
Issue number1
Publication statusPublished - 1 Feb 2016

Fingerprint

Critical Pathways
Quality of Health Care
Malaysia
Cesarean Section
Length of Stay
Knee Replacement Arthroplasties
Control Groups
Practice Guidelines
Teaching Hospitals
Cross-Sectional Studies

Keywords

  • Best clinical practise
  • Clinical pathway
  • Quality of care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Implementation of clinical pathways in Malaysia : Can clinical pathways improve the quality of care? / Ismail, Aniza; Sulong, Saperi; Zafar, A.; Syed Junid, Syed Mohamed Al-Junid; Wan Norlida, I.; Maskon, Oteh; Husyairi, H.; Sagap, Ismail; Nor Hamdan, Y.; Hamzah, Faizal Amri; Mohammad Hassan, Y. S.; Che Hassan, Hamat Hamdi.

In: International Medical Journal, Vol. 23, No. 1, 01.02.2016, p. 47-50.

Research output: Contribution to journalArticle

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