gms | German Medical Science

55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

25. bis 28.04.2004, Köln

Clinical pathway: Workflow optimization of the lumbar nerve root compression syndrome

Klinischer Pfad: Optimierung des Behandlungsablaufs des lumbalen Nervenwurzelkompressions- Syndroms

Meeting Abstract

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  • corresponding author Thomas Baur - Institut für Medizinische Informatik und Biomathematik, Universitätsklinikum Münster, Münster
  • N. Höß - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Münster, Münster
  • H. Wassmann - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Münster, Münster
  • T. Bürkle - Institut für Medizinische Informatik und Biomathematik, Universitätsklinikum Münster, Münster

Deutsche Gesellschaft für Neurochirurgie. Ungarische Gesellschaft für Neurochirurgie. 55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie. Köln, 25.-28.04.2004. Düsseldorf, Köln: German Medical Science; 2004. DocDI.01.11

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2004/04dgnc0153.shtml

Veröffentlicht: 23. April 2004

© 2004 Baur et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Based on the new G-DRG requirements, the overall treatment of patients suffering from lumbar nerve root compression syndrome was analyzed. Using clinical pathway methods the workflow was newly structured to improve treatment quality and reduce costs.

Methods

The current workflow of treatment for lumbar nerve root compression syndrome at University Hospital Münster was analyzed and visualized with the business process management-software ADONIS®. The visualized pathway was then discussed with all involved employees and compared to EBM standards as well as internal guidelines already in use. Derived from personal interviews the various employee's expertise and experience with the treatment was collected in order to optimize the workflow.

Results

The project has prompted considerable discussion among clinicians on the different aspects of the lumbar nerve root compression treatment. We plan to implement an improved clinical pathway at University Hospital Münster in spring 2004. The new workflow should improve the outpatient procedures and the workflow prior to surgical treatment. Furthermore, decisions regarding the post surgery recovering process should become more transparent in a newly structured progress report. As a first step the clinical pathway will be published in our intranet for our employees as a working guideline and for training purposes. A corresponding patient information sheet will supply the patients with all necessary information regarding their treatment and hospital stay.

Conclusions

Clinical pathways should improve treatment and meet the conflict of an increasing cost pressure on the clinics. A standardized treatment plan can stabilize treatment costs. The duration of hospital stay may be reduced while the quality of the treatment will be ensured on the basis of an EBM treatment plan. Based on our positive experience with the evaluation of the lumbar nerve root compression clinical pathway we plan to concern ourselves with further neurosurgical interventions as well. In consideration of the successful project with clinical pathways, the treatment of further entities will be optimized more easily, combining the G-DRG requirements and EBM guidelines.