... Arthroplasty Public health Clinical pathway Millions of people undergo surgery every year worldwide; its aim is to promote patients' health, well-being and a better quality of life (Gheysari et al., 2016). Italy is one of the first countries in Europe based on the number of hip and knee...

.... Originality/value The introduction of fast track surgery for patients undergoing knee replacement surgery made significantly reduce LOS and, consequently, costs’ with a money saving of more than 50,000 euro per year. Six Sigma Public health Lean thinking Clinical pathway Nowadays, in health...

... to the period after the implementation of DTAP (November 2016–December 2017). In total, 14 months before and after the implementation of the new clinical pathway were analyzed. The variables used for the study were: age, gender, cardiovascular disease, diabetes, American Society of Anaesthesiologists (ASA...