当前位置： SCI文献检索 > REVISTA MEDICA DE CHILE期刊下所有文献 > [Implementation of multidisciplinary clinical pathways in a highly complex health institution].

[Implementation of multidisciplinary clinical pathways in a highly complex health institution].

Abstract：

:Clinical pathways or structured multidisciplinary care plans are a tool to standardize clinical practice. The aim of this article is to describe and propose a methodology for the development of clinical pathways in a highly complex health institution. We used the guidelines of the European Quality of Care Pathway, which are based on a 4-stage model: definition and diagnosis, development, implementation and continuity. To make this process operational, we incorporated the project management methodology (PMO). The implemented methodology contemplates the generation of an institutional governance structure responsible for the coordination of the project and the prioritization of the clinical processes to be standardized. The implementation of each clinical pathway was carried out in four steps, namely team generation, development, planning and implementation, and continuous improvement. With this methodology, 23 clinical pathways were developed between 2014 and 2018. Their implementation significantly reduced hospitalization days and their variability, optimized the use of resources and standardized clinical records. The standardization of clinical processes allowed the development of new skills such as the generation of clinical projects, an institutional methodology for managing change and sustainability through cycles of continuous improvement.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Chávez Barrientos P,Menajovsky Haas C,Arriagada Beyzaga L

doi

10.4067/S0034-98872020000901331

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1331-1338

issue

9

eissn

0034-9887

issn

0717-6163

pii

S0034-98872020000901331

journal_volume

148

pub_type

杂志文章

相关文献

REVISTA MEDICA DE CHILE文献大全
  • [Validation of global nutrition assessment in elders].

    abstract：BACKGROUND:The Chilean Ministry of Health proposed the use of "Mini Nutritional Assessment", to identify elders at nutritional risk. This score considers anthropometric, dietary and quality of life items. AIM:To assess the concordance of the mini nutritional assessment with body mass index and dietary parameters in Ch...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Urteaga C,Ramos RI,Atalah E

    更新日期：2001-08-01 00:00:00

  • [Evolution of internal medicine and its specialties in the last decades: an outward view].

    abstract：:The development of the subspecialties of internal medicine in the western world is reviewed from a historical perspective, focusing on the case of the United States of America. During the last decades, changes both in society and in medicine as a whole have prompted a great dispersion of medical practice styles, not a...

    journal_title：Revista medica de Chile

    pub_type： 历史文章,杂志文章

    doi：

    authors： Rosselot E

    更新日期：1996-04-01 00:00:00

  • [Advertising and communicative attitude: towards an ethics of publicity in medicine].

    abstract：:Starting of from the notion that medicine presents a plurality of aims, it is proposed that it should be conceived as a "science of actions" rather than as a "science of objects". Health is not a neutral "object" that could be unambiguously defined and approached from any vantage point solely with the standards of a d...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Stepke FL

    更新日期：1989-11-01 00:00:00

  • [Intensity modulated radiotherapy treatment for prostate cancer, first experience in Chile].

    abstract：BACKGROUND:Intensity modulated radiotherapy (IMRT) is an important step forward in cancer treatment. AIM:To report the first experience in Chile with IMRT for prostate cancer and compare the results obtained with different doses. PATIENTS AND METHODS:From January 1997 through June 2008, 156 patients with a mean age o...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872011001100009

    authors： Besa D C P,Rosso A R,Bustos C M,Borghero Y,Trucco B C,Mac-Namara H M

    更新日期：2011-11-01 00:00:00

  • [Cardiovascular risk factors in middle-age women with acute coronary syndromes].

    abstract：BACKGROUND:In Chile, 40% of deaths due to acute myocardial infarction occur in women. AIM:To assess the presence of cardiovascular risk factors in women with acute coronary syndromes. PATIENTS AND METHODS:Thirty four women aged 46 to 55 years old, admitted to the hospital due to an acute coronary syndrome and 102 age...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Blümel JE,Prieto JC,Leal T,Cruz MN,Gallardo L

    更新日期：2001-09-01 00:00:00

  • [Analysis of sick leaves due to mental and behavioral problems].

    abstract：BACKGROUND:In Chile, the number of sick leaves due to mental health problems has systematically increased in recent years. AIM:To perform an analysis of sick leaves due to mental problems managed by the Fondo Nacional de Salud (FONASA) during 2008. MATERIAL AND METHODS:Analysis of all sick leaves awarded during 2008 ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872012000200009

    authors： Miranda GH,Alvarado SO,Kaufman JS

    更新日期：2012-02-01 00:00:00

  • [Anal tuberculosis. Report of a case].

    abstract：:We report a 70 years old man presenting with malaise, anal pain and progressive defecation difficulty, with a decrease in stool caliber. The patient had no contact or past history of tuberculosis. On physical examination, there was an ulcerated anal lesion with purulent discharge, that produced an anal stenosis. The p...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Rocha M,Carrasco C,Naquira N,Venegas J,Kauer G,Coñoman H

    更新日期：1997-10-01 00:00:00

  • [Association between food addiction and nutritional status in Chilean college students].

    abstract：BACKGROUND:High calorie foods, especially high in sugar and sodium may have an addictive potential. Experimental rats are able to develop symptoms and neurochemical changes, comparable to those observed in drug abuse, when they are exposed intermittently to sucrose. AIM:To evaluate the association between nutritional ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872015000500006

    authors： Obregón A,Fuentes J,Pettinelli P

    更新日期：2015-05-01 00:00:00

  • [Evaluation of oral anticoagulation with rivaroxaban, in patients with new onset non valvular atrial fibrillation].

    abstract：BACKGROUND:Atrial fibrillation (AF) generates a hypercoagulable state with an increased thrombin generation and raised levels of thrombin-antithrombin complexes, which results in a high risk of stroke and thromboembolism. AIM:To evaluate the anticoagulant effect of rivaroxaban by anti-Xa factor activity and its correl...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872016000900002

    authors： Neira V,Corbalán R,Pereira J,Panes O,Garayar B,Aizman A,Llevaneras S,Villarroel L

    更新日期：2016-09-01 00:00:00

  • [A comparative study of institutionalized nonagenarian and younger elderly women].

    abstract：BACKGROUND:The number of nonagenarians is rapidly growing in Chile. This age group is mainly female, with higher frailty markers and in higher risk of being placed at nursing homes. AIM:To describe features of nonagenarian women and compare them with a group of women between 60-89 years, both living in nursing homes, ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872004000100005

    authors： Marín PP,Gac H,Hoyl T,Carrasco M,Duery P,Cabezas M,Petersen K,Dussaillant C,Valenzuela E

    更新日期：2004-01-01 00:00:00

  • [SPECT tomography with F 18-fluorodeoxyglucose in a recent myocardial infarction clinical case].

    abstract：:We report a 50-year-old woman with a recent myocardial infarction in whom a myocardial perfusion single photon emission computed tomography (SPECT) with Thallium201 was done simultaneously with a F18-fluorodeoxyglucose (FDG) SPECT to study glucose metabolism. Myocardial infarction was located in the anteroseptal and a...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： González P,Coll C,Massardo T,Sierralta P,Humeres P,Aramburú I,Brugère S,Yovanevich J,Ramírez A,Jofré J,Chamorro H,Kuntsmann S,López H

    更新日期：2000-09-01 00:00:00

  • [HIV infection: recommendations for the management of asymptomatic adults and of various clinical syndromes].

    abstract：:This paper presents recommendations on the care of HIV infected adults based upon the authors' personal experience with close to 700 patients in a multiprofessional pilot center. This medical care has 5 main objectives: 1) Promotion of good health (through standard recommendation of hygiene, health habits and regular ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Wolff M,Northland R

    更新日期：1996-08-01 00:00:00

  • [Classic and molecular methodologies for the identification of Enterococcus species].

    abstract：BACKGROUND:Enterococcus is a bacterial genus with low virulence. However, in the last years, the importance of some enterococcus species as nosocomial pathogens has increased, specially due to their resistance to some antimicrobial. AIM:To identify enterococcus strains using classical biochemical techniques and genomi...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Sepúlveda M,Bello H,Ruiz M,Hormazábal J,Domínguez M,González G,Mella S,Zemelman R

    更新日期：2002-01-01 00:00:00

  • [Familial recurrence of non syndromic cleft lip with or without cleft palate in Chilean populations].

    abstract：BACKGROUND:The presence of major genes in the susceptibility of non syndromic cleft lip with or without cleft palate (CL/P) in Chile has been postulated, considering the high prevalence and familial aggregation of this condition. AIM:To study the familial recurrence of CL/P in Chile. PATIENTS AND METHODS:The recurren...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Palomino H,Guzmán E,Blanco R

    更新日期：2000-03-01 00:00:00

  • [Alcohol zero tolerance law in Chile: strengths, flaws and shortcomings that should not be overlooked].

    abstract：:Chile has recently entered into force Act No. 20.580, which modifies the legal limits of blood alcohol concentration in drivers and increases the penalties for driving under the influence of alcohol, narcotics or psychotropic substances. The aim of this review was to give an account of the strengths of this new law bu...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：10.4067/S0034-98872012000700018

    authors： González-Wilhelm L,Johnson J,Carnevali R,Ruiz G

    更新日期：2012-07-01 00:00:00

  • [Effects of a six weeks exercise training program for type 2 diabetes mellitus and hypertensive patients].

    abstract：BACKGROUND:There is a wide interindividual variability in the response to a period of exercise training. The science have reported that a minimum of participants could be non-responders for improving different health-related outcomes after training. AIM:To compare the effects of a 6-weeks exercise program on body comp...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872018000600693

    authors： Cano-Montoya J,Ramírez-Campillo R,Sade Calles F,Izquierdo M,Fritz Silva N,Arteaga San Martín R,Álvarez C

    更新日期：2018-06-01 00:00:00

  • [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

    abstract：BACKGROUND:Obstructive sleep apnea syndrome (OSA) is an important cause of morbidity and mortality in adults. AIM:To evaluate the diagnostic value of clinical features and oximetric data to screen for obstructive sleep apnea before performing polysomnograpy or respiratory polygraphy. MATERIAL AND METHODS:We studied 3...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872010000800001

    authors： Saldías P F,Jorquera A J,Díaz P O

    更新日期：2010-08-01 00:00:00

  • [Blood transfusions in Jehovah's witnesses].

    abstract：:Jehovah Witnesses cite religious motives to refuse transfusions of whole blood or its components for themselves and their children, even when life is endangered. An ethical analysis of decision making in health problems is made, giving priority to the alternatives chosen by the patient. One of the elements that turns ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Aguilera P

    更新日期：1993-04-01 00:00:00

  • [Advances in cellular immunotherapy for malignant melanoma].

    abstract：:An alternative strategy for cancer treatment is the manipulation of the immune system, denominated cancer immunotherapy. The immunotherapeutical use of cells of the immune system, like dendritic cells (DC), is being explored in different clinical protocols. Recently, we finalized a clinical phase I protocol, for the t...

    journal_title：Revista medica de Chile

    pub_type： 临床试验,杂志文章,评审

    doi：

    authors： López M,Escobar A,Alfaro J,Fodor M,Larrondo M,Ferrada C,Salazar-Onfray F

    更新日期：2004-09-01 00:00:00

  • [Spontaneous bacterial peritonitis caused by Listeria in a patient with cirrhosis: Case report].

    abstract：:Infections caused by Listeria monocytogenes are usually found in cattle and occasionally appear in humans, particularly pregnant women and immunocompromised individuals. Peritonitis by Listeria monocytogenes is a rare but dangerous condition that must be recognized early, since it requires a specific treatment. We rep...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872006000900013

    authors： Espinoza-Gómez F,Newton-Sánchez O,Melnikov V,Pinzón S L

    更新日期：2006-09-01 00:00:00

  • [Molecular pathology: applications of molecular biology in pathological anatomy].

    abstract：:The rapid development of molecular biology techniques as well as recent progress in the understanding of genetic and molecular basis of human diseases have had enormous impact in the practice of clinical pathology. Since new diagnostic (molecular) tools are now available, the concept of Molecular Pathology is emerging...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Wistuba II

    更新日期：2001-07-01 00:00:00

  • [Prevalence of cardial or fundic mucosa and Helicobacter pylori in the squamous-columnar mucosa in patients with chronic patological gastroesophageal reflux without intestinal metaplasia comparated with controls].

    abstract：BACKGROUND:The mucosa distal to the endoscopic mucosal change zone can have easily diagnosed early alterations, in patients with chronic gastroesophageal reflux. AIM:To determine the type of mucosa existent in the zone distal to the squamous-columnar junction in patients with chronic gastroesophageal reflux without in...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Csendes A,Smok G,Christensen H,Rojas J,Burdiles P,Korn O

    更新日期：1999-12-01 00:00:00

  • [Microalbuminuria and urinary albumin excretion in clinical practice].

    abstract：:Microalbuminuria is a new tool in the management of patients with diabetes mellitus or hypertension. Microalbuminuria is an easily measured biomarker in a urine sample. Urinary albumin to creatinine ratio in first morning urine sample correlates with 24 hours urinary albumin excretion, but it is easier to obtain, and ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：10.4067/S0034-98872012000600016

    authors： Tagle R,González F,Acevedo M

    更新日期：2012-06-01 00:00:00

  • [Pharmacokinetic comparison of Sinemet and Grifoparkin (levodopa/carbidopa 250/25 mg) in Parkinson s disease: a single dose study].

    abstract：BACKGROUND:There are doubts wether generic medications have the same bioavailability and efficacy compared with the original drugs developed by pharmaceutical companies with research capabilities. AIM:To compare the pharmacokinetics and clinical (motor) responses of Sinemet and Grifoparkin (generic carbidopa/levodopa ...

    journal_title：Revista medica de Chile

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：

    authors： Chaná P,Fierro A,Reyes-Parada M,Sáez-Briones P

    更新日期：2003-06-01 00:00:00

  • [Cerebral vasodilators].

    abstract：:Cerebral vasodilators (CVD) account for 1.6% of the annual expenditure on drugs in Chile. Two kinds are typified: what we have called orthodox CVD and calcium-channel blockers. They have two main uses in neurology: firstly, in acute ischaemic stroke where orthodox CVD (buflomedil, codergocrine mesylate, and nicergolin...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Alvarez G,Vacarezza R

    更新日期：1990-07-01 00:00:00

  • [Seroepidemiology of Herpes simplex virus type 2 in the Amerindian Yukpa population of Zulia state, Venezuela].

    abstract：BACKGROUND:Yukpa aborigines start early in life their sexual activity and promiscuity with native and foreign individuals is common among women. This behavior allows the installation and propagation of Herpes simplex virus type 2 (HSV-2). AIM:To determine the presence of antibodies to HSV-2 in a Yukpa Amerindian commu...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Monsalve F,Estévez J,Costa L,Salas M,Hernández M,Olaya J,Rodríguez E,Callejas D

    更新日期：2001-03-01 00:00:00

  • [Prevalence of Staphylococcus aureus among food handlers from a metropolitan university in Chile].

    abstract：BACKGROUND:An important agent of food intoxication is Staphylococcus aureus, that is able to produce enterotoxins. AIM:To detect Staphylococcus aureus contamination in cafeteria food handlers of a Chilean University. SUBJECTS AND METHODS:Nose, throat, hands and nail samples from 87 food handlers were obtained for mic...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Soto A,Saldías ME,Oviedo P,Fernández M

    更新日期：1996-09-01 00:00:00

  • [Urinary nickel in children exposed to petcoke pollution].

    abstract：BACKGROUND:Petcoke is a remnant of the oil refining process that contains Ni and other heavy metals. Undesired human exposure to these compounds may result from petcoke combustion in plants located in the vicinity of the cities. AIM:To compare levels of urinary Ni in schoolchildren residing in cities exposed and not e...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872008000800013

    authors： Iglesias A V,Burgos D S,Marchetti P N,Silva Z C,Pino Z P

    更新日期：2008-08-01 00:00:00

  • [New trends in the regulation of medical practice in the context of health care reform: the Mexico case].

    abstract：:The recent panorama of medical practice regulation in Mexico is exposed. The dynamics of regulation changes is observed in different areas, with particular intensity in the labor market. Changes seem to be moving towards the constitution of a new regulatory model. A full state regulation for the last 50 years, is bein...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Nigenda G,Ruiz JA,Montes J

    更新日期：2001-11-01 00:00:00

  • [Prevalence of biological and psychological symptoms in perimenopausal women from different socioeconomic levels in the city of Temuco].

    abstract：BACKGROUND:Psychological and biological symptoms occur in the perimenopausal period. However the real prevalence of these, is not well known in Chile. AIM:To determine the prevalence of biological and psychological symptoms and self care sexual health practices of perimenopausal women of Temuco, Chile. PATIENTS AND M...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Lagos X,Navarro N,Illanes E,Bustos L

    更新日期：1998-10-01 00:00:00