Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad

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 o...

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Autores principales:	Chávez Barrientos,Pamela, Menajovsky Haas,Cristian, Arriagada Beyzaga,Luis
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Change Management Clinical Pathways Standard of Care Quality Improvement
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000901331
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spelling	oai:scielo:S0034-988720200009013312020-12-26Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidadChávez Barrientos,PamelaMenajovsky Haas,CristianArriagada Beyzaga,Luis Change Management Clinical Pathways Standard of Care Quality Improvement 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.9 20202020-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000901331es10.4067/S0034-98872020000901331
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Change Management Clinical Pathways Standard of Care Quality Improvement
spellingShingle	Change Management Clinical Pathways Standard of Care Quality Improvement Chávez Barrientos,Pamela Menajovsky Haas,Cristian Arriagada Beyzaga,Luis Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
description	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.
author	Chávez Barrientos,Pamela Menajovsky Haas,Cristian Arriagada Beyzaga,Luis
author_facet	Chávez Barrientos,Pamela Menajovsky Haas,Cristian Arriagada Beyzaga,Luis
author_sort	Chávez Barrientos,Pamela
title	Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
title_short	Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
title_full	Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
title_fullStr	Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
title_full_unstemmed	Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
title_sort	implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000901331
work_keys_str_mv	AT chavezbarrientospamela implementaciondeviasclinicasmultidisciplinariasenunainstituciondesaluddealtacomplejidad AT menajovskyhaascristian implementaciondeviasclinicasmultidisciplinariasenunainstituciondesaluddealtacomplejidad AT arriagadabeyzagaluis implementaciondeviasclinicasmultidisciplinariasenunainstituciondesaluddealtacomplejidad
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Implementación de vías clínicas multidisciplinarias en una institución de salud de alta complejidad

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