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 and team lead the effort through the development, implementation and improvement phases.

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. 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. The committees draw on Seattle Children’s organization-wide improvement approach – Seattle Children’s Improvement and Innovation – to implement pathways and support the changes necessary to processes of care. Pathways are reviewed periodically to ensure they remain consistent with current medical literature and national guidelines and metrics are followed to confirm that goals are met or improvement in outcomes is occurring. 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.

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.

For more information, please email us.

All Clinical Standard Work Pathways and Tools

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) 

Appendicitis

Asthma

Autonomic dysreflexia

B

Blood ordering

Blood pressure measurement  

Bronchiolitis

C

Cellulitis and abscess

Central line infection

Cleft lip

Cleft palate

Craniosynostosis

Croup

Cyclophosphamide recurring infusion

Cystic fibrosis

D

Diabetes (non-DKA)

Diabetic ketoacidosis (DKA)

Ductal dependent systemic blood flow (pre-operative)

E

Ear tube placement

ED fractures (Ortho)

ED intussusception

Epilepsy monitoring (video EEG)

F

Femur and supracondylar fractures (Ortho)

G

Gastroschisis

H

Hem/Onc BMT suspected infection

Hydrocephalus

I

IBD

IV fluid management (maintenance)

L

Liver transplant

M

Malnutrition screening

N

Neonatal jaundice

Nephrolithiasis 

Newborn myelomeningocele

Nutrition management of wounds  

P

Pectus excavatum (Nuss)  

Pneumonia

Post-op Norwood 

Post-op tumor resection fever management

Pyeloplasty

Pyloric stenosis

R

Rheumatology new diagnosis 

S

Seizure acute management  

Septic shock 

Sickle cell  

Spine

T

TKO

Tonsillectomy and adenoidectomy

U

Urinary tract infection (UTI)

V

VSD