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Clinical Pathways
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Contents:
Clinical Pathways: What Is Everyone Looking For? Clinical pathways are pre-conceived patient care algorithms, or paths, that are intended to reduce variability and cost, increase efficiency, and ultimately improve patient care. Whether or not such efforts prove to be effective in achieving such goals, many institutions are proceeding to develop such pathways. While many policies and procedures must of necessity be constructed locally, there is likely enough common ground across institutions such that sharing pathways may be of great benefit. In other words, why should each center be forced to "reinvent the wheel?"
PedsCCM proposes to collect pathways that are relevant to the care of critically ill infants and children.
So if you or your institution has created such a clinical pathway that may be of interest to others, contact us by e-mail or use our feedback form. As this is still very much an effort "under construction," at this time we can only offer a repository function of digital documents and cannot perform scanning or converting to web browser-compatable versions.
The Fine Print:
All documents are presented "as is" with no implications of accuracy, reliability, or expectations of validity in any claim regarding actual patient care. These are presented for their educational value to assist in the creation of institution-specific policies.
Downloading Pathways: Options
- Clicking directly on the file format you want from the list below should result in a direct download from this site. Be certain your browser is configured properly to deal with the file format. (or be prepared to "manually" deal with the file)
- Most files are compressed in .zip (PC) or .sit (Mac) formats. If needed, free or shareware tools to expand these files are available at http://www.download.com under Utilities: File Compression.
Current Listing of Pathways
- The following clinical pathways are available in this directory.
- Please contact the author/originating institution directly with questions or comments.
- All documents are presented "as is," with no guarantee of accuracy or responsibility on the part of the originating institution.
- Uploaded December 4, 1996
- Files: ASTHMA1.DOC, ASTHMA3.DOC, and ASTHMA4.DOC
- File type: WordPerfect (Windows v. 5.2 or later)
- Text descriptive file: none
- File formats available:
- AsthmaDOCs.zip (all three files together as a .zip file - for PC; 25K)
- AsthmaDOCs.sit (all three files together as a .sit file - for Mac; 26K)
- AsthmaRTFs.zip (three files in RTF format as a .zip file - for PC; 13K)
- AsthmaRTFs.sit (three files in RTF format as a .sit file - for Mac; 13K)
- Scope: clinical pathways for asthma
- Originating from: Stan Bonis <sbonis@ix.netcom.com>
- Institution: Our Lady of the Lake Regional Medical Center, Baton Rouge, LA
- URL of interest: http://www.ololrmc.com
- Software requirements: should be interpretable by recent versions of Word or WordPerfect for Mac or Windows
- Uploaded January 9, 1997
- Files (only available as compressed archives):
- NSurgery.zip: a zipped file for PC/Windows users (134K)
- NSurgery.sit: a stuffit archive for Macintosh users (127K)
- Text descriptive file: Neurosurg_Pathways_ReadMe.txt
- Scope: PICU Neurosurgery Clinical Pathways
- Uploaded by:
- Barry P. Markovitz, MD
- St. Louis Children's Hospital
- email: markovitz@pedsccm.org
- Software requirements: documents available in Word for Windows 95, Interchange File Format (rtf), and Word 5.1 for Macintosh; these should be interpretable by recent versions of Word or WordPerfect for Mac or Windows
- Uploaded January 24, 1997
- Files:
- Codedocs.zip: a zipped file for PC/Windows users (1 MB)
- Codedocs.sit: a stuffit archive for Macintosh users (1 MB)
- Text descriptive file: Code_sheets_ReadMe.txt
- Scope: Children's Hospital of Oklahoma "code" documentation sheets
- Submitted by:
- Mo Gessouroun, M.D.
- email: mo-gessouroun@uokhsc.edu
- Software requirements: Any image viewing program on any platform that supports the .gif format.
- Uploaded December 1, 1997
- Files:
- CPTmanual.sit: a stuffit archive with Word 5.1 and 6.0 files for the Macintosh (26K)
- cptman.zip: a zipped archive with WordPerfect 5.x and Word 6.0 for Windows (24K)
- Text descriptive file: CPT_manual_ReadMe.txt
- Scope: Primary Children's Medical Center Chest Physical Therapy Protocols
- Submitted by:
- John Salyer
- email: PCJSALYE@ihc.com
- Software requirements: Word 5.1 or 6.0 for Mac, Word 6.0 or WordPerfect 5.x for Windows
- Uploaded June 4, 1999
- Files:
- Progress_Note_v3.doc (28K) and Progress_Note_v4.doc (36K).
- Also in Rich Text Format as Progress_Note_v3.rtf (16K) and Progress_Note_v4.rtf (16K).
- Text descriptive file: PICU Attending Progress Note Templates ReadMe
- Scope: PICU Attending Progress Note templates
- Submitted by:
- Gene Fisher, M.D.
- email: lfisher@mail.mcg.edu
- Software requirements: Word 97/98 or other rich text file compatable softare
- Uploaded June 10, 1999
- Files:
- Progress.doc (32K)
- Also in Rich Text Format as Progress.rtf (36K)
- Text descriptive file: PICU Attending Progress Note Template 2 ReadMe
- Scope: PICU Attending Progress Note templates
- Submitted by:
- John Straumanis, M.D.
- email: jstrauma@Peds05.ab.umd.edu
- Software requirements: Word 97/98 or other rich text file compatable softare
- Uploaded June 20, 1999
- Files:
- Available by direct download as Stuffit (version 5.x) format for Mac:
- Progress_doc.sit (44K) - Microsoft Word 98 format
- Progress_wp.sit (24K) - WordPerfect 5 format
- Available by direct download as .zip files for Windows:
- Progress_doc.zip (44K) - Microsoft Word 97 format
- Progress_wp.zip (24K) - WordPerfect 5 format
- Text descriptive file: PICU Progress Note Template 3 ReadMe
- Scope: PICU Progress Note templates
- Submitted by:
- John Mickell, M.D.
- email: jmickell@hsc.vcu.edu
- Software requirements: Word 97/98, WordPerfect 5.x. Also utilities to "unstuff" or "unzip"
- Uploaded August 18, 2000
- Files:
- Text descriptive file:none
- Scope: Evidence supporting current management of head injured patients with accompanying bibliography
- Submitted by:
- Tara Trimarchi MSN, CRNP
- trimarchi@email.chop.edu
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- Software requirements: Powerpoint 97/98, Word 97/98
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Pathways, Guidelines, and References at other sites
- Dellinger RP, Levy MM, Carlet JM, et al; for the International Surviving Sepsis Campaign Guidelines Committee. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 2008 Jan;36(1):296-327 [abstract]
- Jaimovich DG, Committee on Hospital Care and Section on Critical Care. Admission and Discharge Guidelines for the Pediatric Patient Requiring Intermediate Care. Pediatrics 2004;113 1430-1433 [abstract]
- Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Pediatric Critical Care Medicine 2003; 4(3):S1-S75. [abstract]
- MacIntyre NR. Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support : A Collective Task Force Facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2002; 120: 375S-396S. [full-text for subscribers] In: "Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support. Supplement to Chest 2001; 120(6). [table of contents]
- 2000 Guidelines: Management and Prognosis of Severe Traumatic Brain Injury, from the Brain Trauma Foundation.
- The Management of Minor Closed Head Injury in Children. Committee on Quality Improvement, American Academy of Pediatrics, Commission on Clinical Policies and Research, American Academy of Family Physicians. Pediatrics 1999;104:1407-1415.
- Guidelines for Developing Admission and Discharge Policies for the Pediatric Intensive Care Unit. Committee on Hospital Care and Section on Critical Care and Pediatric Section Admission Criteria Task Force. Pediatrics 1999; 103: 840-842. [abstract; full-text for AAP members]
- Clinical Practice Guideline Infobase, from the Canadian Medical Association
- Practice Guidelines and Consensus Conference Reports from the American College of Chest Physicians: Mechanical Ventilation Beyond the Intensive Care Unit. Quick reference guide for clinicians. Adapted from Chest 1998:113(suppl):289S-344S. (full-text (pdf) )
- A full-text series on guidelines in the British Medical Journal:
- Potential benefits, limitations, and harms of clinical guidelines . Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Br Med J 1999;318:527-530.
- Developing guidelines. Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Br Med J 1999;318:593-596.
- Clinical guidelines: Using clinical guidelines. Feder G, Eccles M, Grol R, Griffiths C, Grimshaw J. Br Med J 1999; 318: 728-730.
- Clinical guidelines: Legal and political considerations of clinical practice guidelines. Hurwitz B. Br Med J 1999; 318: 661-664.
- Clinical guidelines - the hidden costs. Haycox A, Bagust A, Walley T. Br Med J 1999; 318: 391-393
- Evidence-Based Guidelines and Critical Pathways for Quality Improvement. Bergman DA. Pediatrics 1999; 103: 225-232. (full-text for AAP members) [abstract]
- AAP Policy Statements, Practice Parameters, and Model Bills, from the American Academy of Pediatrics, for example:
- American Academy of Pediatrics, American College of Critical Care Medicine/Society of Critical Care Medicine. Consensus Report for Regionalization of Services for Critically Ill or Injured Children (RE9912) Pediatrics 2000;105:152-155 [full-text]
- National Guideline Clearinghouse; evidence-based guideline collection - a joint effort of the Agency for Health Care Policy and Research (AHCPR), American Medical Association (AMA), and American Association of Health Plans (AAHP).
- ACCM/SCCM Guidelines and Practice Parameters are available on the SCCM's Website. Examples include:
- Truog RD, Cist AF, Brackett SE, Burns JP, Curley MA, Danis M, DeVita MA, Rosenbaum SH, Rothenberg DM, Sprung CL, Webb SA, Wlody GS, Hurford WE. Recommendations for end-of-life care in the intensive care unit: The Ethics Committee of the Society of Critical Care Medicine. Crit Care Med. 2001;29(12):2332-48. [full-text (pdf)]
- Guidelines for Intensive Care Unit Design. Guidelines/Practice Parameters Committee of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med 1995; 23:582-588. (pdf)
- Practice Parameters for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient: An Executive Summary. Shapiro BA, Warren J, Egol AB, et al. Crit Care Med 1995; 23:1601-1605. (pdf)
- Guidelines for developing admission and discharge policies for the pediatric intensive care unit. Pediatric Section Task Force on Admission and Discharge Criteria, Society of Critical Care Medicine in conjunction with the American College of Critical Care Medicine and the Committee on Hospital Care of the American Academy of Pediatrics. Crit Care Med. 1999;27:843-5. (pdf) [abstract]
- Carcillo JA, Fields AI et al. Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock. Crit Care Med. 2002;30(6):1365-78. [abstract; full-text pdf from the SCCM]
- Primary Care Clinical Practice Guidelines on the web. Compiled by Peter Sam. UCSF
- Trauma Practice Guidelines, from Eastern Association for the Surgery of Trauma.
- A List of Guidelines on the Net from A ScHARR Introduction to Evidence Based Practice on the Internet of the University of Sheffield's School of Health and Related Research
return to top Last Updated: 2007-12-27 09:42:38
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