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How can you keep clinical pathways and protocols up-to-date with new evidence?

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Clinical pathways and protocols are tools that help case managers deliver consistent and evidence-based care to their clients. They outline the best practices, goals, and interventions for specific conditions, populations, or settings. However, clinical pathways and protocols are not static. They need to be updated regularly to reflect the latest research, guidelines, and standards. How can you keep your clinical pathways and protocols up-to-date with new evidence? Here are some tips to help you.

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1 Identify the need for updates

Identifying when and why your clinical pathways and protocols need to be updated is the first step. To do this, you should keep an eye on feedback from clients, colleagues, and stakeholders as they can provide valuable insights into the effectiveness, relevance, and feasibility of your clinical pathways and protocols. Additionally, you should stay abreast of new evidence from the literature by using databases, journals, newsletters, and alerts. Changes in the environment such as policy, legislation, regulation, accreditation, technology, and resources should also be taken into account when assessing your clinical pathways and protocols.

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shahira banu

Nursing Manager
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The main aim of clinical pathway implementation is?to align clinical practice with guideline recommendations? in order to provide high-quality care within an institution. CPWs may serve as useful tools to reduce variations in clinical practice, thereby maximizing patient outcomes and clinical efficiency.

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TAMIRIS CIUCCIO

Jornalista especializada em Comunica??o Corporativa
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é fundamental observar o feedback dos clientes, colegas e partes interessadas nesse setor, uma vez que suas percep??es podem oferecer valiosos insights sobre a eficácia e relevancia dos protocolos em vigor. Além disso, é essencial acompanhar de perto as novas evidências científicas disponíveis em diversas fontes, como bases de dados, revistas e alertas, a fim de garantir que os protocolos estejam alinhados com as últimas descobertas na área da saúde. As mudan?as constantes no ambiente, como regulamenta??es, avan?os tecnológicos e recursos disponíveis, também desempenham um papel fundamental na avalia??o e atualiza??o dos caminhos e protocolos clínicos, tornando esses aspectos essenciais a serem considerados por profissionais do ramo.

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Charles Umeh

Public Health Physician and Telemedicine Expert. Family Planning Advocate, UNDP Awardee and USAID YALI alumni..
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Regularly monitor advancements in medical research and changes in clinical practice guidelines to determine when updates are necessary.

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2 Review the existing pathways and protocols

The next step is to review your current clinical pathways and protocols and compare them with the new evidence and the feedback you received. You can use a structured framework or tool to evaluate the quality, validity, and applicability of your clinical pathways and protocols. For example, you can use the AGREE II instrument (Appraisal of Guidelines for Research and Evaluation) to assess the rigor and transparency of your guidelines. You can also use the GRADE approach (Grading of Recommendations Assessment, Development and Evaluation) to rate the strength and quality of your recommendations.

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Charles Umeh

Public Health Physician and Telemedicine Expert. Family Planning Advocate, UNDP Awardee and USAID YALI alumni..
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Analyze current clinical guidelines against new evidence and regulatory changes to pinpoint areas needing modification and adjustment.

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3 Revise the pathways and protocols

The third step is to revise your clinical pathways and protocols based on the results of your review. You can use a collaborative and multidisciplinary process to involve your clients, colleagues, and stakeholders in the revision. You can also use a standard format and language to ensure clarity, consistency, and usability of your clinical pathways and protocols. For example, you can use the SMART criteria (Specific, Measurable, Achievable, Relevant, and Time-bound) to define your goals and interventions.

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Charles Umeh

Public Health Physician and Telemedicine Expert. Family Planning Advocate, UNDP Awardee and USAID YALI alumni..
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Collaborate with multidisciplinary teams to incorporate the latest evidence into clinical pathways and protocols, ensuring they are both practical and based on current best practices.

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4 Implement the updated pathways and protocols

The fourth step is to implement your updated clinical pathways and protocols in your practice. To facilitate the adoption and adherence of your clinical pathways and protocols, you can provide education and training to clients, colleagues, and stakeholders on the rationale, benefits, and expectations. Additionally, you can use different channels and formats to communicate and disseminate the pathways and protocols to your target audience such as newsletters, posters, brochures, webinars, or podcasts. Furthermore, you can provide tools and resources to support implementation like checklists, flowcharts, algorithms, or electronic health records.

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Charles Umeh

Public Health Physician and Telemedicine Expert. Family Planning Advocate, UNDP Awardee and USAID YALI alumni..
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Roll out the revised guidelines through training sessions and updates to electronic health records, ensuring all staff are informed and compliant.

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5 Evaluate the outcomes

The fifth step is to evaluate the outcomes of your updated clinical pathways and protocols. You can use various methods and indicators to measure the impact of your clinical pathways and protocols on your clients, colleagues, stakeholders, and organization. For example, you can use surveys, interviews, focus groups, audits, or dashboards. You can also use the PDSA cycle (Plan, Do, Study, Act) to test, monitor, and improve your clinical pathways and protocols.

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TAMIRIS CIUCCIO

Jornalista especializada em Comunica??o Corporativa
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é essencial utilizar métodos e indicadores adequados para medir o impacto dessas práticas. Dentre as ferramentas disponíveis, destacam-se pesquisas, entrevistas, grupos de foco, auditorias e painéis. Além disso, o ciclo PDSA (Planejar, Fazer, Estudar, Agir) pode ser empregado para testar, monitorar e aprimorar continuamente os caminhos e protocolos clínicos. Essa abordagem é fundamental para garantir a eficácia e a eficiência dos processos, beneficiando tanto os clientes quanto a organiza??o como um todo. Um exemplo prático desse conceito pode ser observado no mercado financeiro, onde a implementa??o de novos modelos de análise de investimentos resultou em melhorias significativas no desempenho das carteiras de investimentos de empresas.

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Charles Umeh

Public Health Physician and Telemedicine Expert. Family Planning Advocate, UNDP Awardee and USAID YALI alumni..
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Regularly assess the impact of the updated protocols on patient outcomes and operational efficiency to measure effectiveness and identify areas for further improvement.

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6 Seek continuous improvement

The final step is to seek continuous improvement of your clinical pathways and protocols. You can do this by repeating the steps above on a regular basis or as needed. You can also use a feedback loop to collect and respond to the comments, suggestions, and concerns of your clients, colleagues, and stakeholders. You can also use a quality improvement framework or model to guide your improvement efforts. For example, you can use the Model for Improvement, the Lean Six Sigma, or the Baldrige Performance Excellence Program.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can you keep clinical pathways and protocols up-to-date with new evidence?

1

2

3

4

5

6

7

1 Identify the need for updates

2 Review the existing pathways and protocols

3 Revise the pathways and protocols

4 Implement the updated pathways and protocols

5 Evaluate the outcomes

6 Seek continuous improvement

7 Here’s what else to consider

Case Management

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How can you keep clinical pathways and protocols up-to-date with new evidence?

1

2

3

4

5

6

7

1 Identify the need for updates

2 Review the existing pathways and protocols

3 Revise the pathways and protocols

4 Implement the updated pathways and protocols

5 Evaluate the outcomes

6 Seek continuous improvement

7 Here’s what else to consider

Case Management

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