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Table 2 Integrated care pathways in use at our institution

From: How to promote, improve and test adherence to scientific evidence in clinical practice

ICP

Initiation Date

Eligible/Year+

MT Composition

MT Compliance ++

Cerebral Ischemic Stroke

June 2000

220–230

2 emergency medicine physicians, 1 geriatrist, 1 physical medicine physician, 1 neurologist, 1 neuroradiologist, 2 internists, 1 psychiatrist, 1 physiotherapist, 2 nurses.

89%

Pediatric Head Injury

June 2001

100–110

1 neuropsychiatrist, 2 pediatricians, 1 radiologist, 2 nurses.

62%

Chest Pain

June 2001

1800–2000

3 cardiologists, 1 cardiosurgeon, 2 emergency medicine physicians, 2 internists, 3 nurses.

79%

COPD

June 2001

430–450

3 pulmonologists, 1 emergency medicine physician, 1 geriatrist, 1 physical medicine physician, 2 nurses.

84%

Child Delivery

June 2001

2000–2100

3 gynecologists, 1 pediatrician, 1 obstetrician, 1 nurse.

86%

Lung Cancer

June 2001*

200–220

3 pulmonologists, 2 thoracic surgeons, 1 oncologist, 1 radiologist, 1 radiotherapist, 1 physical medicine physician, 1 pathologist, 2 nurses.

77%

Breast Cancer

December 2001

320–340

2 oncologists, 3 surgeons, 1 plastic surgeon, 1 radiologist, 1 radiotherapist, 1 pathologist, 1 biologist, 1 nurse.

53%

Pediatric Pneumonia

December 2001

110–130

6 pediatricians, 1 neonatologist, 1 radiologist, 2 nurses.

88%

Liver Cirrhosis

December 2001

470–490

2 gastroenterologists, 3 infective disease physicians, 2 nurses.

94%

Supraventricular Tachiarrhythmias

March 2002

680–700

3 cardiologists, 4 internists, 2 emergency medicine physicians, 1 nurse.

55%

Hip Arthroplasty

October 2002

360–380

4 orthopedists, 1 radiologist, 1 physical medicine physician, 1 anesthetist, 1 hematologist, 2 nurses.

82%

Melanoma

January 2003

110–130

3 dermatologists, 2 plastic surgeons, 1 nuclear medicine physician, 2 oncologists, 1 general surgeon, 1 pathologist, 1 nurse.

88%

Non-Hodgkin Lymphomas

June 2003

90–110

1 oncologist, 1 radiotherapist, 1 radiologist, 2 hematologist, 1 nuclear medicine physician, 1 surgeon, 2 internists, 1 nurse

77%

Pulmonary thromboembolism

April 2004

190–210

1 emergency medicine physician, 2 pulmonologists, 1 nuclear medicine physician, 2 internists, 1 geriatrist, 1 cardiologist, 1 radiologist

*

  1. * For this pathway the implementation phase was not completed by June 2004, thus data are not available.
  2. + Eligible/Year: number of patients who meet the inclusion criteria set forth in the ICP document.
  3. ++ MT Compliance: number of eligible patients for whom the data collection sheet is filled out; this value is considered acceptable if greater than 75%.