Today, I link to a great pediatric resource, Clinical Pathways Library*, from the Children’s Hospital of Philadelphia [CHOP].
*This link is to a comprehensive list of the clinical pathways at Children’s Hospital of Philadelphia (CHOP).
And here are direct links to all of the clinical pathways from Children’s Hospital of Philadelphia [CHOP].
All Clinical Pathways
- 22q11.2 Hypocalcemia Screening/Treatment, Inpatient, Outpatient Specialty Care and PICU
- Abdominal Solid Organ Injury, ED, Inpatient, and ICU
- Abuse Physical, ED
- Abuse, Physical, Outpatient Specialty and Primary Care
- Abuse, Sexual, ED
- Acute Flaccid Myelitis, ED and Inpatient
- ADHD, Primary Care – New
- Airway Clearance/Hyperinflation Therapy, Non-Pharmacological, ICU and Inpatient
- Airway, Difficult/Critical, All Settings
- Anaphylaxis, ED
- Anaphylaxis, Inpatient
- Anaphylaxis, Outpatient Specialty and Primary Care
- Ankyloglossia (Tongue-Tie), Outpatient Specialty Care, Primary Care
- Anti-NMDA Encephalitis, Inpatient
- Anxiety Disorder and OCD, Outpatient Behavioral Health and Primary Care
- Aplastic Anemia, All Settings
- Appendicitis, ED
- Appendicitis, Inpatient
- Asthma Exacerbation, Acute, PICU
- Asthma, Acute, Primary Care
- Asthma, ED
- Asthma, Inpatient
- Asthma, Known or Suspected, Primary Care
- Atopic Dermatitis, All Settings
- Autism Screening, Primary Care
- Beckwith-Wiedemann Syndrome, Inpatient and N/IICU
- Behavioral Concerns, EEG Monitoring, Inpatient and Outpatient Specialty Care
- Behavioral Escalations, Outpatient Specialty Care and Primary Care
- Behavioral Health Concerns, Pregnancy, Females < 18 yrs, ED
- Behavioral Health Discharge Disposition, Inpatient
- Behavioral Health Issues, ED
- Behaviors, Challenging, Primary Care
- Blood Culture, PICU and PCU
- BMI-based Evaluation/Management, Outpatient Specialty Care and Primary Care
- Bone Density Scan (DXA), Outpatient Specialty and Primary Care
- BPD, Post-N/IICU, Inpatient
- Brief Resolved Unexplained Event, ED and Inpatient
- Bronchiolitis Oral/Enteral Feeding, ED and Inpatient
- Bronchiolitis, ED
- Bronchiolitis, Inpatient
- Burn Injury, ED
- Burn Injury, Inpatient
- Cellulitis, Preseptal or Orbital, All Settings
- Cellulitis/Abscess, ED, Inpatient
- Central Diabetes Insipidus (DI)/Arginine Vasopressin Deficiency (AVP-D), PICU
- Chemotherapy Induced Nausea and Vomiting, Acute, Inpatient and Outpatient Specialty Care
- Chest Pain, ED
- Congenital Diaphragmatic Hernia, Infant, Pre and Post-operative Care, ICU and Inpatient
- Constipation, ED, Inpatient
- COVID-19 Screening, ED
- COVID-19 Screening, Inpatient
- COVID-19 Screening, Outpatient Specialty and Primary Care
- COVID-19, Acute, All Settings
- Croup, ED and Inpatient
- Dehydration, ED
- Delirium, CICU, PICU, PCU
- Dental Trauma or Infection, ED
- Depression, Outpatient Behavioral Health and Primary Care
- Developmental Delay/Intellectual Disability, Primary Care
- Diabetes Type 1 with Acute Illness, ED
- Diabetic Ketoacidosis, ED, ICU, Inpatient
- Diabetic Ketosis without Acidosis, Inpatient
- Double Volume Exchange Transfusion, ICU
- EEG Monitoring, PICU, N/IICU, CICU – Updated
- End of Life Care, ED
- Febrile Infant, ED, Inpatient
- Febrile Seizures, ED, Inpatient, Outpatient Specialty Care and Primary Care
- Fever in the Returned Traveler, ED
- Fever Non-Oncology CVC, ED
- Fever, All Settings
- Fluid Administration, Continuous IV, Inpatient
- Foreign Body Ingestion, ED, ICU, Inpatient
- Foreign Body, Ear, ED, Primary Care
- Foster Care, Outpatient Specialty Care
- Fracture Risk Screening, Infants and Children, Inpatient
- Fracture, Extremity, ED
- Fracture, Extremity, Open Long Bone, ED
- Fracture, Extremity, Pelvic, ED
- Fracture, Extremity, Supracondylar, ED
- G, GJ, or J Tube Complications, Inpatient
- Gastroenteritis and Dehydration, Inpatient
- GJ or G-Tube Displacement, ED
- Glucose Monitoring in the Healthy Newborn, Inpatient
- Head Trauma, Acute, ED
- Headache, Primary Care
- Hearing Screening, Primary Care
- Heart Failure, Suspected, ED, ICU, Inpatient
- Hemophilia with Head Trauma, ED – Updated
- Hyperammonemia, Neonatal, ED, PICU
- Hyperbilirubinemia/Jaundice, All Settings
- Hypoglycemia, Persistent, Newborn, N/IICU
- Hypoxic-Ischemic Encephalopathy (HIE), ICU – Updated
- Ileocolic Intussusception, ED
- Inflammatory Bowel Disease with Iron Deficiency and Anemia, All Settings
- Influenza/Flu, ED
- Kawasaki Disease, ED and Inpatient
- Laceration, ED
- Lead, Elevated Venous Blood Levels, Primary Care
- Lymphatic Disorders, Neonatal, Inpatient
- Malnutrition (Undernutrition), Inpatient
- Malnutrition Weight Loss and Eating Disorders, ICU and Inpatient
- Malnutrition, Infant, Outpatient Specialty Care, Primary Care
- Malnutrition/Failure to Thrive, Infant, Inpatient
- Measles Suspected Exposure or Infection, ED, Outpatient Specialty and Primary Care
- Meningitis, Suspected, ED, Inpatient, ICU
- Micrognathia-Retrognathia, Neonate/Infant, ICU
- Migraine Headache, ED
- Migraine Headache, Inpatient
- Mitochondrial Disease, ED and Inpatient
- Mpox, ED, Outpatient Specialty Care and Primary Care
- Multiple Patient Events and Mass Casualty Incidents, ED
- Multisystem Inflammatory Syndrome (MIS-C)
- Myelomeningocele/Myeloschisis, Neonatal, ICU
- NAS/NOWS, Neonatal, Inpatient Care
- Neck Space Infection, Deep, ED
- Neonatal Seizure/Status Epilepticus Clinical Pathway, N/IICU
- Nephrolithiasis, ED
- Nephrolithiasis, Outpatient Specialty Care
- Neurogenic Bowel Management, Spina Bifida, Outpatient Specialty Care
- Nitric Oxide, Inhaled, N/IICU
- Nitric Oxide, Inhaled, PICU
- Norwood Physiology or Shunt Dependent Pulmonary Blood Flow, Newborn, Inpatient
- Norwood Physiology or Shunt-dependent Pulmonary Blood Flow, Newborn, Outpatient Specialty Care, Primary Care
- Nutrition for Congenital Heart Disease, CICU
- Nutrition Initiation and Advancement, PICU and PCU
- Nutrition, Trauma, ICU
- Oncology Patient with New Fever – Updated
- Osteomyelitis, ED and Inpatient
- Otitis Media, Acute, All Settings
- Pancreatic Enzyme Replacement Therapy (PERT), All Settings
- Pancreatitis, ED and Inpatient
- Partial Volume Exchange Transfusion, ICU
- PDA Management in the First Month, N/IICU and Inpatient
- Penicillin Drug Allergy, All Settings
- Periacetabular Osteotomy (PAO), Inpatient
- Perioperative Care, Anesthesia/Sedation, ED and Inpatient
- Perioperative Care, Newborns/Infants, N/IICU
- Pharyngitis, Peritonsillar Abscess (PTA) ED and Inpatient
- Pneumonia, All Settings
- Post-Cath Pulse Loss, ICU and Inpatient
- Post-CPR, PICU and CICU
- Post-Hemorrhagic Hydrocephalus in Pre-Term Infants, ICU
- Prolonged QTc, Inpatient
- Pulmonary Embolism, Acute, ED, ICU and Inpatient
- Pulmonary Hypertension Procedure, Anesthesia or Sedation, ICU, Inpatient
- Pulmonary Hypertension Screening in Patients with BPD, ICU and Inpatient
- Respiratory Failure, Neuromuscular Compromise, Inpatient, PICU
- Scoliosis, Adolescent Idiopathic (AIS), Inpatient
- Scoliosis, Neuromuscular, Inpatient and ICU
- Scrotal/Testicular Pain, ED
- Sedation, Procedural, ED
- Sedation/Analgesia, CICU
- Sedation/Analgesia, N/IICU
- Sedation/Analgesia, PICU
- Seizure, Status Epilepticus, ED, Inpatient and ICU
- Seizure, Unprovoked, ED
- Sepsis, CICU and CCU
- Sepsis, ED, Inpatient, PICU
- Sepsis, N/IICU
- Septic Arthritis, ED
- Sexually Transmitted Infections (STI) in Adolescents, ED, Primary Care
- Sickle Cell and Acute Chest Syndrome, Inpatient
- Sickle Cell Disease with Fever, ED
- Sickle Cell Disease with Pain, ED
- Somatic Symptom and Related Disorders (SSRD), ED and Inpatient
- Spinal Cord Injury, ED and PICU
- Steroid Stress Dosing and Weaning – Updated
- Stroke, ED – Updated
- Suicide Risk and Care, Outpatient Specialty Care
- T&A Post-Op Bleed, ED
- T&A with or without Pre-operative Polysomnography, Inpatient and Outpatient Specialty Care
- Tethered Cord Evaluation/Perioperative Management, Inpatient and Primary Care
- Thermoregulation, PICU and PCU
- Thyroidectomy Calcium Management, Inpatient and Outpatient Specialty Care
- Torticollis, Outpatient Specialty Care, Primary Care
- Toxic Ingestion, ED, ICU Inpatient
- Transition to Adult Care, Outpatient Specialty Care and Primary Care
- Transposition of the Great Arteries, CICU
- Trauma Resuscitation, ED
- Traumatic Brain Injury, ED and ICU – Updated
- Tumor Lysis Syndrome, Inpatient, ICU
- Upper Gastrointestinal Bleed, ED, ICU and Inpatient
- Urinary Tract Dilation, Perinatal, ICU, Inpatient, Outpatient Specialty Care, Primary Care
- Urinary Tract Infection (UTI) Management in Neonates, ICU and Inpatient
- Urinary Tract Infection (UTI), All Settings
- Uterine Bleeding, Acute Abnormal, ED
- Vascular Access, ED
- Vascular Access, Inpatient
- Ventilator Weaning, CICU
- Ventilator Weaning, PICU
- Ventricular Shunt Obstruction/Infection, ED, ICU, Inpatient
- VEPTR/Spine Growing Instrumentation Procedures Clinical Pathway — ICU and Inpatient
- VTE Prevention, Inpatient
- VTE, Catheter-Related, CICU and CCU
- Withdrawal in Adolescents, Suspected Substance, Inpatient
About the Clinical Pathways Program
Clinical pathways aim to standardize care for a specific clinical problem, process, procedure, or episode in a defined population.
Pathways are structured plans of care that translate guidelines and/or evidence into localized infrastructure and processes. Each pathway details care in a protocol, algorithm, or other inventory of actions. Our Clinical Pathways are developed by multidisciplinary clinical care teams to provide guidance on the evaluation and management of given chief complaints, diagnoses, or clinical processes that can be applied across the care continuum. Pathways are intended to cover 80% of the intended population, not every single patient.
Adherence to the clinical pathway recommendations should limit unwanted or unintended variation in practice, but pathways are not meant to be prescriptive. The clinician retains the responsibility to select the appropriate pathway for a particular patient and to use the pathway to the extent that it serves the individual patient. Variation resulting from specific patient characteristics is preserved; variation from the provider is eliminated.
Clinical pathways can be utilized as a foundation for quality improvement efforts. They may serve as underlying process maps that when paired with metrics can be used to monitor the effectiveness and efficiency of patient care. They are living documents that can be adapted continuously to improve care by incorporating new evidence as well as results from measurement. They have a powerful role in closing the gap between existing evidence and real-time clinical decision making.
