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Clinical Pathways Programs in Children's Hospitals.

Leigh Anne Bakel1,2, Ilana Y Waynik3, Amy J Starmer4

  • 1Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.

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Summary
This summary is machine-generated.

Most pediatric hospitals have clinical pathway programs, but many lack funding and outcome data. Future collaborations aim to improve pediatric care pathways.

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Area of Science:

  • Healthcare Management
  • Pediatric Care
  • Evidence-Based Practice

Background:

  • Clinical pathways standardize care using evidence-based multidisciplinary plans.
  • Pediatric clinical pathway programs are not well-documented.
  • This study investigates the prevalence and characteristics of pediatric clinical pathway programs.

Purpose of the Study:

  • Determine the prevalence of clinical pathway programs in pediatric hospitals.
  • Describe the similarities and differences in these programs.
  • Identify challenges and opportunities for pediatric clinical pathways.

Main Methods:

  • A cross-sectional web survey was conducted.
  • Assessed existence, number, type, and characteristics of clinical pathways.
  • Survey targeted 111 hospitals within the Pediatric Research in Inpatient Settings network.

Main Results:

  • 73% response rate (81 hospitals); 63% have clinical pathway programs.
  • Programs were often hospital-wide (70%) and prevalent in freestanding children's, academic, and teaching hospitals.
  • Nearly half of programs lacked funding (46%), and 27% did not collect outcome data.

Conclusions:

  • Over half of surveyed pediatric hospitals utilize clinical pathway programs.
  • Significant challenges exist, including lack of funding and outcome measurement.
  • There is strong interest in a national collaborative to advance pediatric clinical pathways.