Clinical Resources

Clinical Standard Work Pathways

At Seattle Children’s, a clinical standard work (CSW) pathway is a documented approach to the management and treatment of a particular population or clinical condition. The aim is to improve quality of care through the standardization of management based on evidence in published medical literature and/or expert opinion. A designated owner/clinical champion and team lead the effort through development, implementation and improvement phases. CSW pathway teams have implemented over 70 pathways in different care settings throughout the hospital. The teams disseminate their work through publications and presentations.

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 all patients. An inclusive and anti-racist framework guides the team to consider the impact of social determinants of health and reduce health disparities for the pathway patient population. Supporting documents and tools such as policies and procedures; patient and family educational materials; and order sets are developed or modified to match the pathway recommendations. Pathways are reviewed periodically to ensure they remain consistent with current medical literature and national guidelines. Pathway metrics are followed to confirm that goals are met or improvement in outcomes is occurring.

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. For more information, please email us.

All Clinical Standard Work Pathways

Files are in PDF format.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Acute gastroenteritis (AGE)  

Anaphylaxis

Appendicitis

Asthma

Autonomic dysreflexia

B

Bladder exstrophy

Blood ordering

Bronchiolitis

C

Cancer PERI-OP

Cellulitis and abscess

Central line infection

Central venous catheter

Cleft 

Complicated pneumonia-empyema

COVID-19

Craniosynostosis

Croup

Cyclophosphamide recurring infusion

Cystic fibrosis

D

Diabetes (non-DKA)

Diabetic ketoacidosis (DKA)

Ductal dependent systemic blood flow (pre-operative)

Dysnatremia

E

Ear tube placement

Eating disorder – refeeding

ED bruising 

ED fractures

ED intussusception

End-of-life care and bereavement

Enhanced recovery

Epilepsy monitoring (video EEG)

F

Faltering growth

Febrile seizures

G

Gastroschisis

Gastrostomy tube placement

H

Hem/Onc BMT suspected infection

Hem/Onc BMT suspected infection - fever in community ED

HUS risk – bloody diarrhea

Hydrocephalus

I

IBD

Inhaled nitric oxide (iNO)

IV fluid management (maintenance)

K

Kawasaki disease

Kidney transplant

L

Liver transplant

M

Malnutrition screening

Migraine

Musculoskeletal infections

N

Neonatal fever

Neonatal jaundice

Nephrolithiasis 

Newborn myelomeningocele

Nutrition management of wounds  

O

Obese care

P

Pancreatitis

Pectus excavatum (Nuss)  

Pneumonia

Post-op Norwood 

Pressure injury prevention

Pyloric stenosis

S

Sacral dimple – tethered cord

Seizure

Septic shock 

Sickle cell – acute chest

Sickle cell – fever

Sickle cell – incentive spirometry 

Spine

Surgical site infection (SSI) prevention

T

Thyroidectomy

Tonsillectomy and adenoidectomy

Tracheotomy

U

Urinary tract infection (UTI)

Urology minimally invasive surgery (MIS)

Urology reconstruction

Z

Zero Suicide Initiative