Ist- und Barrierenanalyse zur Generierung und Implementierung eines klinischen Pfades für Patienten mit proximaler Femurfraktur

Clinical pathways are structured, multidisciplinary plans of care designed to support the implementation of clinical guidelines. They are designed to support clinical management, clinical and non-clinical resource management and also financial management. They provide detailed guidance for each stage in the management of a patient (treatments, interventions etc.) with a specific condition over a given time period. In 2001/2002 the care process for patients with proximal femoral fracture in the department of Trauma Surgery (Philipps-University, Marburg) was analysed and weak points were identified (e.g. delays and causes in timing OP the emergency area, patient preparation for the operation, clarification of osteoporosis) by a prospective study on 169 patients with a one year follow up. Based on an actual analysis and the analysis of barriers, literature and guideline research a target pathway was defined. The pathway was finalised through a multi-tiered consensus process and adopted by the board of directors.