BACKGROUND AND OBJECTIVE Clinical pathways translate best evidence into the local context of a care setting through structured, multidisciplinary care plans. Little is known about clinical pathway programs in pediatric settings. The purpose of this study was to determine the prevalence of clinical pathway programs and describe similarities and differences. METHODS We performed a cross-sectional web survey to assess the existence of a clinical pathway program, number, type, and creation or revision of clinical pathways, and its characteristics in the 111 hospitals of the Pediatric Research in Inpatient Settings network. RESULTS Eighty-one hospitals responded to the survey (73% response rate). Most hospitals had a clinical pathway program (63%, n = 50 of 80) that was hospital-wide (70%, n = 35 of 50). Freestanding children's (48%, n = 39 of 81), academic (60%, n = 43 of 72), teaching hospitals (96%, n = 78 of 81) made up the largest proportion of survey respondents. There was no funding for nearly half of the programs (n = 21 of 46, 46%). Over a quarter of survey respondents reported no data collected to assess pathway utilization and/or care outcomes (n = 19 of 71, 27%). CONCLUSIONS Greater than half of respondents confirmed existence of a program. Freestanding, academic teaching hospitals accounted for the most responses. However, nearly half of surveyed programs were unfunded, and many are unable to measure their pathway outcomes or demonstrate improvement in care. Survey respondents were enthusiastic about participating in a national collaborative on pediatric clinical pathways.

中文翻译：

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儿童医院的临床路径计划。


背景和目标 临床路径 通过结构化、多学科的护理计划将最佳证据转化为护理环境的当地环境。人们对儿科环境中的临床途径计划知之甚少。本研究的目的是确定临床路径计划的患病率并描述相似之处和不同之处。方法 我们进行了一项横断面网络调查，以评估临床路径计划的存在、数量、类型以及临床路径的创建或修改，以及在住院环境中儿科研究网络的 111 家医院中的特点。结果 81 家医院对调查做出了回应 （73% 的回复率）。大多数医院都有一个全院范围的临床路径计划 （63%，80 中的 n = 50） （70%，n = 35 / 50）。独立儿童医院（48%，81 个中的 n = 39 个）、学术医院（60%，72 个中的 n = 43 个）、教学医院（96%，81 个中的 n = 78 个）占受访者的最大比例。近一半的项目没有资金（n = 21 / 46,46%）。超过四分之一的调查受访者报告没有收集数据来评估途径利用和/或护理结果（n = 19/71,27%）。结论 超过一半的受访者确认存在一个程序。独立的学术教学医院的回复最多。然而，近一半的受访项目没有资金，许多项目无法衡量其路径结果或证明护理方面的改善。调查受访者对参与全国儿科临床路径合作充满热情。