Critical path analysis in head and neck cancer

A management technique for surgical oncology

R. Wheelwright, M. A. Birchall, R. Boaden, G. Pearce, A. Lennon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

This paper describes a study of critical path analysis (CPA) as applied to the process of care for patients with head and neck cancer. CPA is a management technique, which has been developed in both the Armed Forces and a wide range of industries. It identifies the parts of a process where improvements are most likely to make an impact on the overall time for that process. There is evidence that reducing the overall times for an oncology care process has a major impact on outcome for patients. This paper describes an appraisal of a formal application of CPA in the setting of oncology. The technique was applied to a single head and neck unit. The results were compared with published standards for times in the care process and with the comparable times for the whole of the South and West of England. The critical path (the combination of processes that limits the total time taken for the whole process) at this unit ran through the combined oncology clinic, leading to a decision to increase the frequency of these clinics, which lead to a reduction in overall process time for patients. A randomised controlled trial in five centres in the South and West region will follow which includes patient quality of life outcomes and collaborative practice to assess the impact of CPA on the patient care process.

Original languageEnglish (US)
Pages (from-to)148-154
Number of pages7
JournalEuropean Journal of Oncology Nursing
Volume6
Issue number3
DOIs
StatePublished - Sep 1 2002
Externally publishedYes

Fingerprint

Critical Pathways
Head and Neck Neoplasms
Patient Care
England
Surgical Oncology
Industry
Neck
Randomized Controlled Trials
Head
Quality of Life

Keywords

  • Audit
  • Collaborative practice
  • Critical path analysis
  • Head and neck cancer
  • Multidisciplinary teams
  • Patient outcomes

ASJC Scopus subject areas

  • Oncology
  • Nursing(all)
  • Health Professions(all)

Cite this

Critical path analysis in head and neck cancer : A management technique for surgical oncology. / Wheelwright, R.; Birchall, M. A.; Boaden, R.; Pearce, G.; Lennon, A.

In: European Journal of Oncology Nursing, Vol. 6, No. 3, 01.09.2002, p. 148-154.

Research output: Contribution to journalArticle

Wheelwright, R. ; Birchall, M. A. ; Boaden, R. ; Pearce, G. ; Lennon, A. / Critical path analysis in head and neck cancer : A management technique for surgical oncology. In: European Journal of Oncology Nursing. 2002 ; Vol. 6, No. 3. pp. 148-154.
@article{2712d974ff0e490a8ef35c2df3db0ba2,
title = "Critical path analysis in head and neck cancer: A management technique for surgical oncology",
abstract = "This paper describes a study of critical path analysis (CPA) as applied to the process of care for patients with head and neck cancer. CPA is a management technique, which has been developed in both the Armed Forces and a wide range of industries. It identifies the parts of a process where improvements are most likely to make an impact on the overall time for that process. There is evidence that reducing the overall times for an oncology care process has a major impact on outcome for patients. This paper describes an appraisal of a formal application of CPA in the setting of oncology. The technique was applied to a single head and neck unit. The results were compared with published standards for times in the care process and with the comparable times for the whole of the South and West of England. The critical path (the combination of processes that limits the total time taken for the whole process) at this unit ran through the combined oncology clinic, leading to a decision to increase the frequency of these clinics, which lead to a reduction in overall process time for patients. A randomised controlled trial in five centres in the South and West region will follow which includes patient quality of life outcomes and collaborative practice to assess the impact of CPA on the patient care process.",
keywords = "Audit, Collaborative practice, Critical path analysis, Head and neck cancer, Multidisciplinary teams, Patient outcomes",
author = "R. Wheelwright and Birchall, {M. A.} and R. Boaden and G. Pearce and A. Lennon",
year = "2002",
month = "9",
day = "1",
doi = "10.1054/ejon.2002.0196",
language = "English (US)",
volume = "6",
pages = "148--154",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Churchill Livingstone",
number = "3",

}

TY - JOUR

T1 - Critical path analysis in head and neck cancer

T2 - A management technique for surgical oncology

AU - Wheelwright, R.

AU - Birchall, M. A.

AU - Boaden, R.

AU - Pearce, G.

AU - Lennon, A.

PY - 2002/9/1

Y1 - 2002/9/1

N2 - This paper describes a study of critical path analysis (CPA) as applied to the process of care for patients with head and neck cancer. CPA is a management technique, which has been developed in both the Armed Forces and a wide range of industries. It identifies the parts of a process where improvements are most likely to make an impact on the overall time for that process. There is evidence that reducing the overall times for an oncology care process has a major impact on outcome for patients. This paper describes an appraisal of a formal application of CPA in the setting of oncology. The technique was applied to a single head and neck unit. The results were compared with published standards for times in the care process and with the comparable times for the whole of the South and West of England. The critical path (the combination of processes that limits the total time taken for the whole process) at this unit ran through the combined oncology clinic, leading to a decision to increase the frequency of these clinics, which lead to a reduction in overall process time for patients. A randomised controlled trial in five centres in the South and West region will follow which includes patient quality of life outcomes and collaborative practice to assess the impact of CPA on the patient care process.

AB - This paper describes a study of critical path analysis (CPA) as applied to the process of care for patients with head and neck cancer. CPA is a management technique, which has been developed in both the Armed Forces and a wide range of industries. It identifies the parts of a process where improvements are most likely to make an impact on the overall time for that process. There is evidence that reducing the overall times for an oncology care process has a major impact on outcome for patients. This paper describes an appraisal of a formal application of CPA in the setting of oncology. The technique was applied to a single head and neck unit. The results were compared with published standards for times in the care process and with the comparable times for the whole of the South and West of England. The critical path (the combination of processes that limits the total time taken for the whole process) at this unit ran through the combined oncology clinic, leading to a decision to increase the frequency of these clinics, which lead to a reduction in overall process time for patients. A randomised controlled trial in five centres in the South and West region will follow which includes patient quality of life outcomes and collaborative practice to assess the impact of CPA on the patient care process.

KW - Audit

KW - Collaborative practice

KW - Critical path analysis

KW - Head and neck cancer

KW - Multidisciplinary teams

KW - Patient outcomes

UR - http://www.scopus.com/inward/record.url?scp=0036743159&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036743159&partnerID=8YFLogxK

U2 - 10.1054/ejon.2002.0196

DO - 10.1054/ejon.2002.0196

M3 - Article

VL - 6

SP - 148

EP - 154

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

IS - 3

ER -