A systematic approach to postoperative management of deceased donor kidney transplant patients with a clinical pathway

Ashley Seawright, Laura Taylor

Research output: Contribution to journalArticle

Abstract

Context-Clinical pathways have been used in many acute hospital settings.Objectives-To develop a systematic approach to postoperative care of adult recipients of deceased donor kidney transplants at the University of Mississippi Medical Center.Design and Setting-A pilot quality improvement project that uses implementation of a clinical pathway 24 hours after surgery for adult recipients of a deceased donor kidney transplant for 7 months. Charts from the same 7 months of the preceding year were retrospectively reviewed for comparison. The project occurred on the transplant floor in an acute care hospital and did not include any patients admitted to the intensive care unit.Main Outcome Measures-To demonstrate that clinical pathways can (1) promote a method for standardizing postoperative care, (2) decrease postoperative length of stay, and (3) contain costs by minimizing hospital charges related to laboratory and room fees and promote efficient medication use in adult recipients of a deceased donor kidney transplant.Results-All 24 patients in the clinical pathway group met daily goals of the implemented clinical pathway. The clinical pathway group had statistically significant decreases in postoperative length of stay, use of laboratory tests, and use of intravenous medications compared with the comparison group. The 2 groups were similar in race, sex, age, and body mass index. Surgical readmissions did not differ significantly between the 2 groups.

Original languageEnglish (US)
Pages (from-to)43-52
Number of pages10
JournalProgress in Transplantation
Volume21
Issue number1
StatePublished - Mar 1 2011

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Critical Pathways
Tissue Donors
Transplants
Kidney
Postoperative Care
Length of Stay
Hospital Charges
Mississippi
Fees and Charges
Quality Improvement
Intensive Care Units
Body Mass Index
Outcome Assessment (Health Care)
Costs and Cost Analysis

ASJC Scopus subject areas

  • Transplantation

Cite this

A systematic approach to postoperative management of deceased donor kidney transplant patients with a clinical pathway. / Seawright, Ashley; Taylor, Laura.

In: Progress in Transplantation, Vol. 21, No. 1, 01.03.2011, p. 43-52.

Research output: Contribution to journalArticle

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