Skip to main content

Part of the book series: Lecture Notes in Computer Science ((LNPSE,volume 7539))

Included in the following conference series:

  • 1232 Accesses

Abstract

This paper argues that it is possible to develop useful generic representations of care pathways, drawing on evidence and argument about clinical teams, about the ability of teams to cope with radical uncertainty and about the influence of institutional arrangements on the journeys that patients take through health systems. The arguments are used to identify a mismatch between current practices in the design of large scale digital systems and doctors’ and other health professionals’ needs for information about patients’ risks and outcomes to support their work.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Office of the National Coordinator for Health Information Technology. Update on the adoption of health information technology and related efforts to facilitate the electronic use and exchange of health information. A Report to Congress (January 2012)

    Google Scholar 

  2. National Audit Office. The National Programme for IT in the NHS: an update on the delivery of detailed care records systems. HC 888, Session 2010-12. The Stationery Office, London (2010)

    Google Scholar 

  3. Pearse, R., Holt, P., Grocott, M.: Managing peri-operative risk in patients undergoing elective non-cardiac surgery. BMJ 343, d5759 (2011)

    Article  Google Scholar 

  4. Davis, M., Rogers, S., Rudolf, M., Hughes, M., Lip, G.: Patient care pathway, implementation and audit criteria for patients with atrial fibrillation. Heart 93, 48–52 (2007), doi:10.1136/hrt.2006.099937

    Article  Google Scholar 

  5. Wachter, R.: Patient Safety At Ten: Unmistakeable Progress, Troubling Gaps. Health Affairs 29, 165–173 (2010), doi:10.1377/hlthaff.2009.0785

    Article  Google Scholar 

  6. Morton, A., Cornwell, J.: What’s the difference between a hospital and a bottling factory? BMJ 339 (2009), doi:10.1136/bmj.b2727

    Google Scholar 

  7. Leape, L., Berwick, D.: Five years after ‘To Err Is Human’, what have we learned? JAMA 293, 2384–2390 (2005), doi:10.1001/jama.293.19.2384

    Article  Google Scholar 

  8. Stevens, D.: Safe healthcare: we’re running out of excuses. Qual. Saf. Health Care 18, 418 (2009), doi:10.1136/qshc.2009.038778

    Google Scholar 

  9. Anderson, J.: The Evolution of the health care quality journey. Journal of Legal Medicine 31, 59–72, doi:10.1080/01947641003598252

    Google Scholar 

  10. Piore, M., Sabel, C.: The Second Industrial Divide. Basic, London (1984)

    Google Scholar 

  11. Helper, S., MacDuffie, J., Sabel, C.: Pragmatic Collaborations: Advancing Knowledge While Controlling Opportunism. Industrial and Corporate Change 9, 443–488 (2000)

    Article  Google Scholar 

  12. Keen, J., Moore, J., West, R.: Pathways, networks and choice in health care. International Journal of Health Care Quality Assurance 19, 316–327 (2006)

    Article  Google Scholar 

  13. Wennberg, J.: Unwarranted variations in healthcare delivery: implications for Academic Medical Centres. BMJ 325, 961–964 (2002), doi:10.1136/bmj.325.7370.961

    Article  Google Scholar 

  14. Boult, C., Wieland, G.: Comprehensive primary care for older patients with multiple chronic conditions. JAMA 304, 1936–1943 (2010), doi:10.1001/jama.2010.1623

    Article  Google Scholar 

  15. Kohn, L., Corrigan, J., Donaldson, M.: To Err Is Human. Institute of Medicine, Washington DC (1999)

    Google Scholar 

  16. Leape, L., Berwick, D., et al.: Transforming healthcare: a safety imperative. Qual. Saf. Health Care 18, 424–428 (2009), doi:10.1136/qshc.2009.036954

    Article  Google Scholar 

  17. Tjora, A., Scambler, G.: Square pegs in round holes: Information systems, hospitals and the significance of contextual awareness. Socl. Sci. Med. 68, 519–525 (2009)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Keen, J. (2012). What Is a Care Pathway?. In: Calinescu, R., Garlan, D. (eds) Large-Scale Complex IT Systems. Development, Operation and Management. Monterey Workshop 2012. Lecture Notes in Computer Science, vol 7539. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34059-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-34059-8_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34058-1

  • Online ISBN: 978-3-642-34059-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics