Table 7: Donabedian factors support clinical pathways processes.

Issues Clinical Pathways Processes Donabedian Factors
Literature Review Preliminary Data
Lack of a system that supports the treatment process There is no system support treatment process, no clinical pathways. Medical process: the aim of this process is to manage and organize patients’ care plan.
This process can be designed based on its characteristics:
Timeline.
Category of care.
Outcome criteria.
Variance record.
Inpatient outcome.
• Care planning
• Information sharing
• Information exchange
• Discharge planning
• Disease planning
Lack of information No computerized system support treatment process.
Communication is based on the synchronous type. The system should have three processes to solve the problems mentioned. Using synchronous types has a disadvantage in providing information.
Administrative process: the aim of this process is to support the medical process.
This process can be designed based on its characteristics:
Resources utilization.
Leadership.
Communication.
Care coordination
• Teamwork structure
• Communication protocols
• Internal structure
• Policies and procedures
• External structure
Poor communication and coordination - Communication process: the aim of this process is to support medical and administrative processes.
This process can be designed based on its characteristics:
Task.
Teamwork.
Knowledge.
Technology.
Context.
Delay of communication - - -
Lack of standard No techniques (protocols) are used to standardize the communications, such as (briefing, debriefing, SBAR, etc.) - -