Defining barriers and enablers for clinical pathway implementation in complex clinical settings.

ABSTRACT:

Background

While clinical pathways have the potential to improve patient outcomes and reduce healthcare costs, their true impact has been limited by variable implementation strategies and suboptimal research designs. This paper explores a comprehensive set of factors perceived by emergency department staff and administrative leads to influence clinical pathway implementation within the complex and dynamic environments of community emergency department settings.

Methods

This descriptive, qualitative study involved emergency health professionals and administrators of 15 community hospitals across Ontario, Canada. As part of our larger cluster randomized controlled trial, each site was in the preparation phase to implement one of two clinical pathways: pediatric asthma or pedia

SUBMITTER: Jabbour M 

PROVIDER: S-EPMC6233585 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature