“Clinical standard work” (CSW) is a documented approach to management and treatment of a particular population or diagnosis that Seattle Children's providers and staff are expected to follow. The approach is rooted in evidence when available, and when evidence is not available it is determined by team consensus.
The management approach is hardwired by some method or standardized tool that is integrated into the workflow. This could be an order set, an OR checklist, an algorithm, a CIS flag, etc. There are identified process and outcome measures specific to the condition that are tracked, evaluated and owned by someone to assure the continual improvement of care for this condition.
Pathways are intended only as a guide for practitioners. Pathways should be adapted to each specific patient based on practitioners’ professional judgment and their consideration of the unique circumstances and needs of each patient and their family.
Pathways are reviewed periodically to ensure they remain consistent with current medical literature and national guidelines. New and updated pathways will be posted as they become available.
Currently, CSW pathway teams have implemented over 50 pathways in different care settings throughout the hospital. The teams disseminate their work through publications and presentations.
For more information, please email us.
Download Clinical Standard Work Pathways and Tools (all files are PDFs)
- Acute gastroenteritis: Acute Gastroenteritis Pathway
- Appendicitis: Appendicitis Algorithm Pathway
- Asthma: Asthma Pathway
- Autonomic dysreflexia: Autonomic Dysreflexia Pathway
- Blood ordering: Blood Ordering Pathway
- Blood pressure: Blood Pressure Measurement Pathway
- Bronchiolitis: Bronchiolitis Pathway
- Cellulitis and abscess: Cellulitis and Abscess Pathway, Cellulitis and Abscess Antibiotic Table by Condition and Cellulitis and Abscess Tetanus Table
- Central line infection: Central Line Infection Pathway
- Cleft lip: Cleft Lip Pathway
- Cleft palata: Cleft Palate Pathway
- Craniosynostosis: Craniosynostosis Pathway
- Croup: Croup Pathway
- Cyclophosphamide recurring infusion: Cyclophosphamide Recurring Infusion Pathway
- Cystic fibrosis: Cystic Fibrosis Pathway
- Diabetes: Anesthesia-PACU Perioperative Diabetes (Non-DKA) Pathway, ED Diabetes (Non-DKA) Pathway, Hypoglycemia (Insulin-Related, Non-DKA) Pathway, Sick Day Management Diabetes (Non-DKA) Pathway, New Diagnosis Diabetes (Non-DKA) Pathway and Established Diagnosis Diabetes (Non-DKA) Pathway
- Diabetic ketoacidosis (DKA): DKA Pathway, Stabilization and Transport of Patients with DKA: Recommendations for Referring Providers
- Ductal dependent systemic blood flow: Ductal Dependent Systemic Blood Flow Pre-Op Pathway
- Ear tube placement: Ear Tube Placement Pathway
- ED fractures (Ortho): ED Elbow and Forearm Fractures Safety Checklist, ED Femur Fracture Care Safety Checklist and ED Spica Cast Patient Safety Checklist
- ED intussusception: ED Intussusception Pathway
- Epilepsy: Epilepsy Monitoring (Video EEG) Pathway
- Febrile seizures: Febrile Seizures Pathway
- Femur and supracondylar fractures: Bellevue Orthopedic Supracondylar Fracture Patient Safety Checklist, Seattle Orthopedic Femur Fracture Patient Safety Checklist, Seattle Orthopedic Supracondylar Fracture Patient Safety Checklist
- Fever: Neonatal Fever Pathway
- Gastroschisis: Gastroschisis Pathway
- Hem/Onc suspected infection: Hem/Onc Suspected Infection Pathway
- Hydrocephalus: Hydrocephalus Pathway
- IBD: Crohn's Disease Pathway and IBD/Acute Ulcerative Colitis Medical Management Pathway
- IV fluid management: Maintenance IV Fluid Management Pathway
- Liver transplant: Liver Transplant Pathway
- Malnutrition: Malnutrition Screening Pathway
- Migraine: Migraine Pathway
- Neonatal jaundice: Neonatal Jaundice Pathway
- Nephrolithiasis: Nephrolithiasis Pathway
- Nutrition management of wounds: Nutrition Management of Wounds Pathway
- Pectus excavatum (Nuss): Pectus Excavatum (Nuss) Pathway
- Pneumonia: Pneumonia Pathway
- Post-op Norwood: Post-Op Norwood Pathway
- Post-op tumor resection fever management: Post-Op Tumor Resection Fever Management Pathway
- Pyeloplasty: Pyeloplasty Pathway
- Pyloric stenosis: Pyloric Stenosis Pathway
- Rheumatology: Rheumatology New Diagnosis Pathway
- Seizure acute management: Seizure Acute Management Pathway
- Septic shock: Septic Shock Pathway
- Sickle cell: Sickle Cell Pathway
- Spine: Spine Pathway
- TKO: TKO Pathway
- Tonsillectomy and adenoidectomy: Tonsillectomy and Adenoidectomy Pathway
- Urinary tract infection (UTI): UTI Pathway and UTI ED and UC Culture Results Decision Tree
- VSD: VSD Pathway
About Clinical Standard Work Pathways and Tools
At Seattle Children's, clinical standard work pathways are a documented standard approach that guides practitioners when providing care to specific patient populations. These clinical pathways improve the quality of care through standardization of treatment based on evidence in the published medical literature and/or expert opinion.
When developing these pathways, committees of experts from different disciplines review the evidence to reach a consensus about treatments that result in the best outcomes for patients. The committees draw on Seattle Children's organization-wide improvement approach – called Continuous Performance Improvement (CPI) – to implement pathways and support change management.
If you are interested in joining a pathway committee, please email us.