Published Paper Details:

Abstract: . Introduction: In terms of reducing health care resource,complication,length of stay clinical pathway have proven to be simple and effective by evaluating periodically1.Majority of post craniotomy have complications due to prolonged hospital stay and mechanical ventilation2.Thirty percent of patients among post craniotomy have at-least one neurological or medical complication3. Objective of the study : To compare the outcome among patients undergone craniotomy with clinical pathway and without the clinical pathway Methodology A quasi-experimental design is used in this study with quantitative approach, study is conducted in a selected hospital of Navi Mumbai, included all the patients undergoing craniotomy surgeries and are available during study. 60 samples selected for the study, clinical care pathway was implemented on prospective group(n=30) and not implemented on retrospective group(n=30). Outcome is compared among both the groups. Results: Analysis and comparison done using in comparison of retrospective (without clinical pathway,n=30) and prospective (with clinical pathway,n=30) using independent t-test.Prospectively there was reduction in length of stay (p=0.008)and duration of definitive airway (p=0.044).Medical complications, Surgical site infection (p=0.043) and pulmonary complication (p=0.016) has significant difference and Neurological complication shows no different ,other complications (p=0.022) like bedsore,CLABSI,CAUTI and sepsis was decreased.Readmission(p=0.043) was also significantly reduced in prospective. Conclusion : Patients outcome after implementation of clinical pathway shows reduction in length of stay,complication, and readmission this will benefit the hospital ,patient and staffs.Nursing staffs will gain the knowledge regarding care of post craniotomy patient in critical care unit through this study .Only few parameters were analyzed in the study.