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Introduction of Clinical Pathways in Orthopedic Surgical Care: The Experience of the Hospital for Special Surgery

  • Susan Flics
  • Shivi Duggal
  • Katarzyna Kujawa
  • Charles N. CornellEmail author
Chapter
  • 28 Downloads

Abstract

Clinical pathways are structured multidisciplinary care plans that address specific clinical scenarios. Their purpose is to standardize and coordinate care. Elective orthopedic surgical procedures are particularly suited to application of these pathways. Clinical pathways must address the entire episode of care including pre-hospital preparation, in-hospital care, and post-hospital discharge. Clinical pathways must be multidisciplinary involving all members of the healthcare team. Each hospital should design these pathways based on their unique environment and culture. Adoption of clinical pathways standardizes care resulting in greater patient safety, reduced perioperative complications, shorter length of stay, and higher patient satisfaction with their experience. Following implementation all clinical pathways should be continuously reassessed to provide for continuous process improvement.

Keywords

Total joint replacement Clinical pathways 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Susan Flics
    • 1
  • Shivi Duggal
    • 2
  • Katarzyna Kujawa
    • 3
  • Charles N. Cornell
    • 4
    Email author
  1. 1.Hospital for Special Surgery, Executive OfficesNew YorkUSA
  2. 2.SUNY Albany School of Public HealthRensselaerUSA
  3. 3.Department of OperationsHospital for Special SurgeryNew YorkUSA
  4. 4.Department of Orthopedics the Hospital for Special Surgery Weill Cornell MedicineNew YorkUSA

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