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Home > DEPARTMENTS > QUALITY_SAFETY > EVIDENCEBASEDPRACTICE > CLINICAL_PATHWAYS

Clinical Pathways

 

Clinical Pathways are intended to standardize patient care. Our pathways are informed by the systematic review of current pediatric health care literature and includes risk and benefit assessment of alternative care options. When evidence is not available or weak, standards are developed by consensus agreement among subject matter experts.


Clinical Pathways are updated on a revision schedule. Primary files will always be the most current update. Previous revisions are available upon request from Children’s Mercy Library Services.


NOTE:The Clinical Pathways Collection combines and includes work products previously released as Care Process Models and Clinical Practice Guidelines.

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  • 22q11.2 Enhanced Recovery After Surgery Pathway (ERAS) by Children's Mercy Kansas City

    22q11.2 Enhanced Recovery After Surgery Pathway (ERAS)

    Children's Mercy Kansas City

  • Abdominal Pain for Community Providers by Children's Mercy Kansas City

    Abdominal Pain for Community Providers

    Children's Mercy Kansas City

  • Acute Gastroenteritis: Emergency Department/Urgent Care Centers by Children's Mercy Kansas City

    Acute Gastroenteritis: Emergency Department/Urgent Care Centers

    Children's Mercy Kansas City

  • Acute Otitis Media by Children's Mercy Kansas City

    Acute Otitis Media

    Children's Mercy Kansas City

  • Allergic Reaction in Hem/Onc Patient by Children's Mercy Kansas City

    Allergic Reaction in Hem/Onc Patient

    Children's Mercy Kansas City

  • Ambulatory Patients with a Central Line Presenting with a Fever by Children's Mercy Kansas City

    Ambulatory Patients with a Central Line Presenting with a Fever

    Children's Mercy Kansas City

  • Anaphylaxis by Children's Mercy Kansas City

    Anaphylaxis

    Children's Mercy Kansas City

  • Animal Bites (Mammal) by Children's Mercy Kansas City

    Animal Bites (Mammal)

    Children's Mercy Kansas City

  • Anticoagulation Therapies and VTE Risk Assessment by Children's Mercy Kansas City

    Anticoagulation Therapies and VTE Risk Assessment

    Children's Mercy Kansas City

  • Appendicitis by Children's Mercy Kansas City

    Appendicitis

    Children's Mercy Kansas City

  • Apthous Ulcers by Children's Mercy Kansas City

    Apthous Ulcers

    Children's Mercy Kansas City

  • Assessment and Management of Dehydration by Children's Mercy Kansas City

    Assessment and Management of Dehydration

    Children's Mercy Kansas City

  • Asthma Care in the Emergency Department and Urgent Care Center by Children's Mercy Kansas City

    Asthma Care in the Emergency Department and Urgent Care Center

    Children's Mercy Kansas City

  • Asthma Exacerbation by Children's Mercy Kansas City

    Asthma Exacerbation

    Children's Mercy Kansas City

  • Asthma—Inpatient by Children's Mercy Kansas City

    Asthma—Inpatient

    Children's Mercy Kansas City

  • Atopic Dermatitis: Infected by Children's Mercy Kansas City

    Atopic Dermatitis: Infected

    Children's Mercy Kansas City

  • Atopic Dermatitis: Non-Infected by Children's Mercy Kansas City

    Atopic Dermatitis: Non-Infected

    Children's Mercy Kansas City

  • Attention Deficit Hyperactivity Disorder: Assessment by Children's Mercy Kansas City

    Attention Deficit Hyperactivity Disorder: Assessment

    Children's Mercy Kansas City

  • Attention Deficit Hyperactivity Disorder: Treatment by Children's Mercy Kansas City

    Attention Deficit Hyperactivity Disorder: Treatment

    Children's Mercy Kansas City

  • Autism and/or Developmental Delay by Children's Mercy Kansas City

    Autism and/or Developmental Delay

    Children's Mercy Kansas City

  • Behavioral Escalation in the ED by Children's Mercy Kansas City

    Behavioral Escalation in the ED

    Children's Mercy Kansas City

  • Birth Brachial Plexus Injury (BBPI): Management of Shoulder Subluxation/Dislocation by Children's Mercy Kansas City

    Birth Brachial Plexus Injury (BBPI): Management of Shoulder Subluxation/Dislocation

    Children's Mercy Kansas City

    BBPI most often, but not always, occurs during the delivery process as the infant descends through the birth canal and the shoulder becomes lodged on the mother’s pelvic bone. As contraction begins, the infant’s neck and shoulder are stretched which can cause tears or ruptures of the nerves within the brachial plexus thus impacting the sensation and movement of the affected upper extremity. Incidence of brachial plexus injuries in the United States is 0.4 to 4 in 1,000 live births (Abzug, et al., 2018; Foad et al., 2008; Hoeksma et al., 2004; Waters, 1997). Although many of these infants will have spontaneous recovery of their injury within 2 - 3 months, 10 – 30% will have irreversible neuromuscular dysfunction and skeletal deformities (Nikolaou et al., 2011; Waters et al., 1998; Poyhia et al., 2005). One condition that impacts the shoulder specifically in BBPI is glenohumeral dysplasia. Glenohumeral dysplasia is a complex condition involving an imbalance between shoulder muscles, particularly the internal and external rotators. This can lead to progressive joint abnormalities, such as posterior subluxation and dislocation, causing further disruption in the development and function of the shoulder joint (Ruchelsman, et al., 2011; Olofsson, et al., 2019; Moukoko, et al., 2004). Early diagnosis and appropriate treatment are important to manage this condition and prevent complications (Pearl, 2009; Vuillermin & Bauer, 2016).

  • Bladder Reconstruction and Mitrofanoffs Enhanced Recovery After Surgery by Children's Mercy Kansas City

    Bladder Reconstruction and Mitrofanoffs Enhanced Recovery After Surgery

    Children's Mercy Kansas City

  • Brief Resolved Unexplained Event (BRUE) by Children's Mercy Kansas City

    Brief Resolved Unexplained Event (BRUE)

    Children's Mercy Kansas City

  • Bronchiolitis by Children's Mercy Kansas City

    Bronchiolitis

    Children's Mercy Kansas City

 
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