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Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: The evolution of the pathway and its role in improving patient care
Authors: Mould, Gillian
Bowers, John
Ghattas, Mikhail
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Issue Date: Oct-2010
Publisher: BMJ Publishing Group
Citation: Mould G, Bowers J & Ghattas M (2010) The evolution of the pathway and its role in improving patient care, BMJ Quality and Safety, 19 (5), p. Article e14.
Abstract: Redesign in healthcare has increased the focus on the needs of the patient. The redesign process typically involves a review of current practice using the patient pathway before considering possible improvements. The patient pathway can serve various roles and it may be mapped in different ways using a variety of media. This paper reviews the evolution of the patient pathway comparing the merits of different media. Simple approaches to mapping pathways can be most useful. However, experience in the redesign of Unscheduled Care in NHS Fife suggests that computer based, hierarchical pathway models using stylised icons offer many advantages. Such approaches can increase the effectiveness of pathways in the redesign process, providing both the detail and the system view in an accessible graphical form. This enhanced capability helps staff analyse current practice, and visualise and assess redesign options. In addition, the pathway can fulfil new roles as a training tool and an effective basis for organising knowledge about patient care.
Type: Journal Article
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Rights: Published in BMJ Quality and Safety. Copyright: BMJ Publishing Group Ltd.; Rights according to Exclusive Licence Agreement:; This article has been accepted for publication in BMJ Quality and Safety. The definitive copyedited, typeset version BMJ Quality and Safety, Volume 19, Issue 5, October 2010, pp. 1-6 is available online at:
Notes: Published Online First: 29th April 2010
Affiliation: Management Work and Organisation
People Centred Healthcare Management
NHS Fife

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