Hi there, interesting topic.
I haven't been used to these pathways but at our hospital, we are in the process of developing some; (THJR, TKJR,) total abdominal hysterectomy, laparascopic chole, laparascopic appendectomy are being used in our surgical ward at the moment quite successfully.
In answer to your questions;
I don't see these as totally negative pathways,
they are a standard pathway (obviously from research previously done) for a patient with the specific operation identified,
the 'norm' would be the pathway,
any variance is clearly documented and I see this as a really good way to research current trends, assess the variables and be able to put into effect, any change that may benefit the patient.
Obviously the hospital trend, to 'save $$$'s
is to reduce patient stay.
I stayed in a maternity ward for eight days with my first born child 26 years ago.... admittedly, now, I believe we have gone the other way but.... look at the complications with long stay patients on bedrest....(talking surgical now)
the perception of patients when they enter hospital (I have researched this one a little and enjoy this particular topic)I have watched elective surgical patients come into hospital and get straight into their PJ's or nightie on warding!!! Are they sick????
Remember the sick role?
Perhaps I am going on too musch, this topic opens up many doors and I would love to hear your reply and thoughts.
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