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Critical pathway development: an integrative literature review.
A Harkleroad1, D Schirf, J Volpe
1RehabWorks, Tyrone, Pennsylvania 16686-1497, USA.
Summary
This review analyzes nine methods for developing critical pathways, outlining the steps and criteria for each. It serves as a guide for healthcare professionals involved in creating these essential patient care tools.
Area of Science:
- Healthcare Management
- Clinical Practice Guidelines
- Health Services Research
Background:
- Critical pathways are essential tools for standardizing patient care.
- Developing effective critical pathways requires a systematic approach.
- Understanding various development methodologies is crucial for successful implementation.
Purpose of the Study:
- To summarize and analyze the diverse methods employed in developing critical pathways.
- To provide a comprehensive overview of the steps and criteria for each development method.
- To enhance the understanding and application of critical pathway development techniques.
Main Methods:
- An integrative literature review was conducted.
- Articles from occupational therapy, physical therapy, nursing, and medical journals (1992-1997) were analyzed.
- Methods, steps, and criteria for critical pathway development were extracted and categorized.
Main Results:
- Nine distinct approaches to critical pathway development were identified and detailed.
- The steps and criteria associated with each method were presented in a comparative tabular format.
- A 'gold standard' approach was established for evaluating other development methodologies.
Conclusions:
- This review offers valuable insights into critical pathway development methods for occupational therapists and other healthcare practitioners.
- It serves as a practical resource for professionals participating in the creation of critical pathways.
- Understanding these methods can improve the consistency and effectiveness of patient care across various diagnostic groups.