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What is a clinical pathway? Development of a definition to inform the debate

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TLDR
The criteria used for the identification of relevant studies for this Cochrane Review can be used as a foundation for the development of a standardised, internationally accepted definition of a clinical pathway.
Abstract
Background Clinical pathways are tools used to guide evidence-based healthcare that have been implemented internationally since the 1980s. However, there is widespread lack of agreement on the impact of clinical pathways on hospital resources and patient outcomes. This can be partially attributed to the confusion for both researchers and healthcare workers regarding what constitutes a clinical pathway. This paper describes efforts made by a team of Cochrane Review authors to develop criteria to assist in the objective identification of clinical pathway studies from the literature.

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Citations
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Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence.

TL;DR: This narrative review presents a model ERAS pathway that can be applied to perioperative care of patients undergoing hip or knee arthroplasty, and identifies interventions lacking high-quality evidence.
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Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment and Intervention

TL;DR: This comprehensive book belongs on the bookshelf of a range of clinicians including psychologists and social workers, as well as family physicians, physician assistants, nurses, and health care educators.
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From biomarkers to medical tests: the changing landscape of test evaluation.

TL;DR: The pathway of a laboratory assay measuring a biomarker to becoming a medically useful test is described, and the essential components of analytical and clinical performances, clinical and cost-effectiveness and the broader impact of testing assemble in a dynamic cycle.
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Improving Healthcare Quality in Europe : Characteristics, Effectiveness and Implementation of Different Strategies

TL;DR: It will be necessary to address persisting challenges with regard to accuracy, completeness and comparability of the data collected in electronic records to enable reliable measurement of quality of care on the basis of this data (Chan et al., 2010).
References
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Book

Cochrane Handbook for Systematic Reviews of Interventions

TL;DR: The Cochrane Handbook for Systematic Reviews of Interventions is the official document that describes in detail the process of preparing and maintaining Cochrane systematic reviews on the effects of healthcare interventions.
Journal ArticleDOI

Integrated care pathways

TL;DR: The degree to which integrated care pathways succeed in realising their potential for improving patient care is still uncertain, but enough evidence exists in their favour to justify more widespread evaluation of their impact.
Journal ArticleDOI

Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs

TL;DR: Clinical pathways are associated with reduced in-hospital complications and improved documentation without negatively impacting on length of stay and hospital costs.
Journal ArticleDOI

Integrated care pathways

TL;DR: The system offers a set of guiding principles, based on the fact that, because knowledge and practice change continually when caring for patients, clinical records should be flexible and dynamic to accommodate these changes.
Journal ArticleDOI

Clinical pathway audit tools: a systematic review.

TL;DR: Whether clinical/care pathway audit tools can identify the characteristics of well-organized care processes and the Integrated Care Pathway Appraisal Tool is the most appropriate audit tool to assess clinical pathway documents is investigated.
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