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A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
[16] [17] In particular, he has argued that clinical practice guidelines can be improved if they are translated into clinical pathways and fast-and-frugal trees within the framework of threshold decision models to develop more individualized patient care. [18] [19] [20] [21]
Measurement and Evaluation in Counseling and Development is abstracted and indexed in, among other databases: SCOPUS, and the Social Sciences Citation Index. According to the Journal Citation Reports, its 2018 impact factor is 1.089, ranking it 62 out of 82 journals in the category ‘Psychology, Applied’.
The GRADE approach separates recommendations following from an evaluation of the evidence as strong or weak. A recommendation to use, or not use an option (e.g. an intervention), should be based on the trade-offs between desirable consequences of following a recommendation on the one hand, and undesirable consequences on the other.
A recent study stated that the main obstacle to use SDM in clinical practice indicated for practitioners was the lack of time and resources. [125] It is poorly reflected in clinical practice guidelines and consensus [126] and barriers to its implementation persist. It has been already demonstrated that new policies must be designed for adequate ...
These tools include computerized alerts and reminders to care providers and patients, clinical guidelines, condition-specific order sets, focused patient data reports and summaries, documentation templates, diagnostic support, and contextually relevant reference information, among other tools.
The European Pathway Association is a European non-profit organisation which brings together researchers, managers and clinicians on the management concept of clinical pathways. The organisation works on the establishment of clinical care pathways in order to systematically plan and follow up a patient focused care program.