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Asthma management clinical pathways guidelines and patient education

post in: Lifestyle, Video Date:21 Nov 2017, 04:44 views:3940

Asthma management clinical pathways guidelines and patient education

In the medical profession, the development of clinical guidelines was first documented in the mid-1970s.

Interest in guidelines which specifically address allied health practice took another 1015 years to emerge. Guidelines were initially produced as statements of best practice regarding the structure and organization of healthcare facilities, and were usually associated with hospital accreditation programmes (.

These guidelines dealt with issues such as staff registration guidelines and training, hygiene, safety and business management.

They also highlighted adverse events, events that should not happen in a safe healthcare environment, such as avoidable deaths, unplanned readmission to hospital for the same condition within a specified time period, infections, falls and other avoidable injuries. In the Western world, public and private hospitals are expected to be accredited with a national body to demonstrate how they comply with specified standards of best practice relating to quality care.

Compliance with accreditation guidelines is usually measured by performance indicators and benchmarking (within or between organizations adjusted for size, staffing complement and location.

In the mid-1980s, the Australian Physiotherapy Association led the physiotherapy world, developing a private physiotherapy practice accreditation programme that specified quality frameworks for allied health service delivery (.

Grimmer et al 1998 ). This programme has gone from strength to strength in Australia and has formed the basis of accreditation programmes for private and public physiotherapy services in many other countries.

Operating on the understanding that quality structural elements of care will produce good health outcomes, the accreditation programme applies consensus standards to each element involved in delivering high-quality physiotherapy service, including staff training, record keeping, length of appointments, regulating the performance of equipment, safety and. In recent years, academic and clinical interest has turned to developing recommendations to assist in the delivery of high-quality health care as a mechanism to improve health outcomes, reduce adverse events and variations in clinical practice and contain costs (. Anderson Mooney 1991, Antman et al 1992, Sackett et al 2000, Wilson Harrison 1997 ).

These recommendations have variably been called clinical guidelines, clinical (or care) pathways, care decision-making processes, algorithms or flowcharts.

 

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