Do clinical pathways really improve clinical performance in mental health settings?

Emmerson, Brett, Frost, Aaron, Fawcett, Lisa, Ballantyne, Emma, Ward, Warren and Catts, Stan (2006) Do clinical pathways really improve clinical performance in mental health settings?. Australasian Psychiatry, 14 4: 395-398. doi:10.1111/j.1440-1665.2006.02311.x


Author Emmerson, Brett
Frost, Aaron
Fawcett, Lisa
Ballantyne, Emma
Ward, Warren
Catts, Stan
Title Do clinical pathways really improve clinical performance in mental health settings?
Journal name Australasian Psychiatry   Check publisher's open access policy
ISSN 1039-8562
1440-1665
Publication date 2006-12
Sub-type Article (original research)
DOI 10.1111/j.1440-1665.2006.02311.x
Volume 14
Issue 4
Start page 395
End page 398
Total pages 4
Editor G. Walter
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2006
Language eng
Subject 321021 Psychiatry
730211 Mental health
Formatted abstract
Objective:
Royal Brisbane and Women's Hospital (RBWH) Mental Health developed and trialled two clinical pathways on psychosis and depression between 2001 and 2003 with the aim of improving a range of clinical and financial parameters. There was a strong commitment from senior management, appropriate resources were allocated and there was adequate staff support. Following a 6-month trial, the pathways were reworked extensively and combined into an acute inpatient pathway. From October 2003 to 2004, we trialled the acute inpatient clinical pathway, and monitored clinical and financial parameters.

Conclusion:
Over this 12-month period, the acute inpatient clinical pathway failed to demonstrate improvement on a range of clinical and financial parameters and its use was ceased. This trial lends support to the view that the complexity, individuality and variability of mental disorders means that clinical pathways are not beneficial in mental health settings.
Keyword Clinical pathways
Clinical performance
Inpatients
Mental health
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Article first published online: 15 November 2006

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 10:21:24 EST