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[[Image:Main_help_page_small.PNG|100px|link=Help]]
{{Critical pathways project}}
[[Image:Projects.PNG|100px|link=Projects]]
[[Image:Main_help_page_small.PNG|100px|link=Help]][[Image:Projects.PNG|100px|link=Projects]][[Image:Editor's_Tools.PNG|100px|link=Help Menu]]
[[Image:Editor's_Tools.PNG|100px|link=Help Menu]]


{{CMG}}; {{AE}} {{AO}}
{{CMG}}; {{AE}} {{AO}}
==Overview==
==Overview==
The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care.  With the use of critical pathways, a health care giver can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency.  This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, physician assistants, nurse practitioners to contribute their expertise.  This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care.  WikiDoc welcomes your involvement in contributing to this project. 
Critical pathways are multidisciplinary management tools 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.  The use of critical pathways in hospitals have been proven to improve the quality of care to patients, reduce the cost of care and reduce the length of hospital stay.<ref name="Renholm-2002">{{Cite journal  | last1 = Renholm | first1 = M. | last2 = Leino-Kilpi | first2 = H. | last3 = Suominen | first3 = T. | title = Critical pathways. A systematic review. | journal = J Nurs Adm | volume = 32 | issue = 4 | pages = 196-202 | month = Apr | year = 2002 | doi = | PMID = 11984255 }}</ref> WikiDoc is proud to engage in such a project.
 
==Goals==
*To improve the quality of making diagnoses and treating medical conditions.
*To standardize health care processes.
*To reduce the occurrence of medical errors.
*To optimize treatment outcomes in acute and home care settings.
*To limit the over-utilization of health care resources thereby reducing cost.
*To improve the overall quality of health care.
 
==Who Can Contribute?==
The critical pathways project is intended for health professionals with a good medical knowledge, and preferably, with a prior residency training and experience.  You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner.  You will be required to function at an Associate Editor-in Chief level.
 
==How to Get Started==
===Select a Topic===
A topic of interest is selected from the Resident Survival Guide Page and a name is assigned next to it.
 
 
{| class="wikitable sortable"
!Topic
!Resident Survival Guide Page
!Authorship
|-
|[[Abdominal pain]]||[[Abdominal pain critical pathways]]|| Add name here)
|-
|[[Liver function tests|Abnormal Liver function tests]]||[[Abnormal Liver function tests critical pathways]]||
|-
|[[Acetaminophen overdose]]||[[Acetaminophen overdose critical pathways]]||
|-
|[[Acidosis]]||[[Acidosis critical pathways]]||
|-
|[[Acute coronary syndrome]]||[[Acute coronary syndrome critical pathways]]||
|-
|[[Acute decompensated heart failure]]||[[Acute decompensated heart failure critical pathways]]||
|-
|[[Acute kidney injury]]||[[Acute kidney injury critical pathways]]||
|-
|[[Acute liver failure]]||[[Acute liver failure critical pathways]]||
|-
|[[Meningoencephalitis|Acute meningitis and encephalitis]]||[[Acute meningitis and encephalitis critical pathways]]||
|-
|[[Pain management|Acute pain management]]||[[Acute pain management critical pathways]]||
|-
|[[Acute pancreatitis]]||[[Acute pancreatitis critical pathways]]||
|-
|[[Pulmonary edema|Acute pulmonary edema]]||[[Acute pulmonary edema critical pathways]]||
|-
|[[Acute respiratory distress syndrome]]||[[Acute respiratory distress syndrome critical pathways]]||
|-
|[[Vision loss|Acute vision loss]]||[[Acute vision loss critical pathways]]||
|-
|[[Adrenal insufficiency]]||[[Adrenal insufficiency critical pathways]]||
|-
|[[Agitation]]||[[Agitation critical pathways]]||
|-
|[[Alcohol withdrawal]]||[[Alcohol withdrawal critical pathways]]||
|-
|[[Alkalosis]]||[[Alkalosis critical pathways]]||
|-
|[[Altered mental status]]||[[Altered mental status critical pathways]]||
|-
|[[Anaphylaxis]]||[[Anaphylaxis critical pathways]]||
|-
|[[Anemia]]||[[Anemia critical pathways]]||
|-
|[[Arrhythmia]]||[[Arrhythmia critical pathways]]||
|-
|[[Arthritis]]||[[Arthritis critical pathways]]||
|-
|[[Ascites]]||[[Ascites critical pathways]]||
|-
|[[Asthma]]||[[Asthma exacerbation critical pathways]]||
|-
|[[Atrial fibrillation]]||[[Atrial fibrillation critical pathways]]||
|-
|[[Back pain]]||[[Back pain critical pathways]]||
|-
|[[Bleeding disorders]]||[[Bleeding critical pathways]]||
|-
|[[Bradycardia]]||[[Bradycardia critical pathways]]||
|-
|[[Brain death]]||[[Brain death critical pathways]]||
|-
|[[Carbon monoxide poisoning]]||[[Carbon monoxide poisoning critical pathways]]||
|-
|[[Cardiac arrest]]|| [[Cardiac arrest critical pathways]]||
|-
|[[Chemotherapy|Chemotherapy toxicity]]||[[Chemotherapy toxicity critical pathways]]||
|-
|[[Chest pain]]||[[Chest pain critical pathways]]||
|-
|[[Cholelithiasis]], [[cholecystitis]], and [[cholangitis]]||[[Cholelithiasis, cholecystitis, and cholangitis critical pathways]]||
|-
|[[Chronic obstructive pulmonary disease|COPD exacerbation]]||[[Chronic obstructive pulmonary disease exacerbation critical pathways|COPD exacerbation critical pathways]]||
|-
|[[Cocaine|Cocaine overdose]]||[[Cocaine overdose critical pathways]]||
|-
|[[Congestive heart failure]]||[[Congestive heart failure critical pathways]]||
|-
|[[Constipation]]||[[Constipation critical pathways]]||
|-
|[[Contrast-induced nephropathy]]||[[Contrast-induced nephropathy critical pathways]]||
|-
|[[Deep vein thrombosis]]||[[Deep vein thrombosis critical pathways]]||
|-
|[[Diabetic ketoacidosis]]||[[Diabetic ketoacidosis critical pathways]]||
|-
|[[Diarrhea]]||[[Diarrhea critical pathways]]||
|-
|[[Dizziness]]||[[Dizziness critical pathways]]||
|-
|[[Dysphagia]]||[[Dysphagia critical pathways]]||
|-
|[[Dyspnea]]||[[Dyspnea critical pathways]]||
|-
|[[Endocarditis]]||[[Endocarditis critical pathways]]||
|-
|[[Fever]]||[[Fever critical pathways]]||
|-
|[[Gastrointestinal bleeding]]||[[Gastrointestinal bleeding critical pathways]]||
|-
|[[Headache]]||[[Headache critical pathways]]||
|-
|[[Hematuria]]||[[Hematuria critical pathways]]||
|-
|[[Hemoptysis]]||[[Hemoptysis critical pathways]]||
|-
|[[Heparin-induced thrombocytopenia]]||[[Heparin-induced thrombocytopenia critical pathways]]||
|-
|[[Hiccup]]||[[Hiccup critical pathways]]||
|-
|[[Hypercalcemia]]||[[Hypercalcemia critical pathways]]||
|-
|[[Hyperglycemia]]||[[Hyperglycemia critical pathways]]||
|-
|[[Hyperkalemia]]||[[Hyperkalemia critical pathways]]||
|-
|[[Hypernatremia]]||[[Hypernatremia critical pathways]]||
|-
|[[Antibiotic|Empiric antibiotic regimen]]||[[Empiric antibiotic regimen critical pathways]]||
|-
|[[Hyperosmolar hyperglycemic state]]||[[Hyperosmolar hyperglycemic state critical pathways]]||
|-
|[[Hyperphosphatemia]]||[[Hyperphosphatemia critical pathways]]||
|-
|[[Hypertensive crisis]]||[[Hypertension critical pathways]]||
|-
|[[Hyperthermia]]||[[Hyperthermia critical pathways]]||
|-
|[[Hypocalcemia]]||[[Hypocalcemia critical pathways]]||
|-
|[[Hypoglycemia]]||[[Hypoglycemia critical pathways]]||
|-
|[[Hypokalemia]]||[[Hypokalemia critical pathways]]||
|-
|[[Hypomagnesemia]]||[[Hypomagnesemia critical pathways]]||
|-
|[[Hyponatremia]]||[[Hyponatremia critical pathways]]||
|-
|[[Hypophosphatemia]]||[[Hypophosphatemia critical pathways]]||
|-
|[[Hypotension]]||[[Hypotension critical pathways]]||
|-
|[[Hypothermia]]||[[Hypothermia critical pathways]]||
|-
|[[Hypoxemia]]||[[Hypoxemia critical pathways]]||
|-
|[[Ileus]]||[[Ileus critical pathways]]||
|-
|[[Infection control]]||[[Infection control critical pathways]]||
|-
|[[Influenza]]||[[Influenza critical pathways]]||
|-
|[[Insomnia]]||[[Insomnia critical pathways]]||
|-
|[[Low urine output]]||[[Low urine output critical pathways]]||
|-
|[[Metabolic acidosis]]||[[Metabolic acidosis critical pathways]]||
|-
|[[Metabolic alkalosis]]||[[Metabolic alkalosis critical pathways]]||
|-
|[[Narcotic|Narcotic withdrawal]]||[[Narcotic withdrawal critical pathways]]||
|-
|[[Nausea and vomiting]]||[[Nausea and vomiting critical pathways]]||
|-
|[[Neutropenic fever]]||[[Neutropenic fever critical pathways]]||
|-
|[[Nosocomial infection]]||[[Nosocomial infection critical pathways]]||
|-
|[[Oncologic emergencies]]||[[Oncologic emergencies critical pathways]]||
|-
|[[Overdose]]||[[Overdose critical pathways]]||
|-
|[[Pericarditis]]||[[Pericarditis critical pathways]]||
|-
|[[Pneumonia]]||[[Pneumonia critical pathways]]||
|-
|[[Pulmonary embolism]]||[[Pulmonary embolism critical pathways]]||
|-
|[[Rash]]||[[Rash critical pathways]]||
|-
|[[Respiratory acidosis]]||[[Respiratory acidosis critical pathways]]||
|-
|[[Respiratory alkalosis]]||[[Respiratory alkalosis critical pathways]]||
|-
|[[Respiratory failure]]||[[Respiratory failure critical pathways]]||
|-
|[[Seizure]]||[[Seizure critical pathways]]||
|-
|[[Sepsis]]||[[Sepsis critical pathways]]||
|-
|[[Shock]]||[[Shock critical pathways]]||
|-
|[[Sickle cell crisis]]||[[Sickle cell crisis critical pathways]]||
|-
|[[Spinal cord compression]]||[[Spinal cord compression critical pathways]]||
|-
|[[Stroke]]||[[Stroke critical pathways]]||
|-
|[[Subarachnoid hemorrhage]]||[[Subarachnoid hemorrhage critical pathways]]||
|-
|[[Syncope]]||[[Syncope critical pathways]]||
|-
|[[Tachycardia]]||[[Tachycardia critical pathways]]||
|-
|[[Thrombocytopenia]]||[[Thrombocytopenia critical pathways]]||
|-
|[[Thyroid storm]]||[[Thyroid storm critical pathways]]||
|-
|[[Transfusion]]||[[Transfusion critical pathways]]||
|-
|[[Tricyclic antidepressant overdose]]||[[Tricyclic antidepressant overdose critical pathways]]||
|-
|[[Urinary tract infection]]||[[Urinary tract infection critical pathways]]||
|-
|[[Vertigo]]||[[Vertigo critical pathways]]||
|-
|[[Wide complex tachycardia]]||[[Wide complex tachycardia critical pathways]]||
|-
|}
 
===Next Steps===
<div class="mw-collapsible mw-collapsed">
* Use the algorithm in the Resident Survival Guide of the selected topic as reference.  
<div class="mw-collapsible-content">
{{familytree/start |summary=PE diagnosis Algorithm.}}
{{familytree | | | | | | | | A01 |A01= First branching point}}
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
{{familytree | | | B01 | | | | | | | | B02 | | |B01= Answer 1 |B02= Answer 2}}
{{familytree | | | |!| | | | | | | | | |!| }}
{{familytree | | | C01 | | | | | | | | |!| |C01= }}
{{familytree | |,|-|^|.| | | | | | | | |!| }}
{{familytree | D01 | | D02 | | | | | | D03 |D01= |D02= |D03= }}
{{familytree | |!| | | | | | | | | |,|-|^|.| }}
{{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }}
{{familytree | | | | | | | | | | |!| | | | |!| }}
{{familytree | | | | | | | | | | F01 | | | F02 |F01= |F02= }}
{{familytree/end}}
</div></div>
* Use the first branching point on the algorithm as a guide for constructing the first question.
* Provide answers to the question.  There could be two or more answers to this question.
* Link provided answers to corresponding pages on WikiDoc.
* Give Definitions and Action Items for the first question.  Please add references when necessary.
* Use the second branching point after each answer as a reference for the second question.
* Repeat steps 3, 4, and 5.
* After finishing the critical pathways, add the Critical Pathways icon in the '''Main Page''' by using the following wikicode.
 
==Structure of the Critical Pathways==
The structure of the critical pathways looks like this:
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| BGCOLOR=FLORALWHITE | Topic from the resident survival guide
|}
 
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| BGCOLOR=FLORALWHITE STYLE="WIDTH:50%"| First question || BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | Answer 1 ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | Answer 2
|}
 
==Definition==
* The definition of the answers must be provided and referenced when possible. For example:
* [[Metabolic acidosis]] is a state in which the blood [[pH]] is less than 7.35 due to increased production of H<sup>+</sup> by the body or the inability of the body to form [[bicarbonate]] (HCO3<sup>-</sup>) in the kidney.
* [[Anion gap]] = [Na<sup>+</sup>] - [Cl<sup>-</sup>] - [HCO3<sup>-</sup>]
* Normal reference range for anion gap is between 8 and 16 meq/L.<ref name="isbn0-683-18272-2">{{cite book | author = Benjamin Abelow | authorlink = | editor =| others = | title = Understanding acid-base | edition = | language = | publisher = Williams & Wilkins | location = Baltimore | year = 1998 | origyear = |pages = | quote = | isbn = 0-683-18272-2 | oclc = | doi = | url = | accessdate = }}</ref><ref name="isbn1-4160-3105-7">{{cite book | author = Rector, Floyd C.; Brenner, Barry M. | authorlink = | editor = | others = | title = Brenner & Rector's the kidney | edition = | language = | publisher = Saunders Elsevier |location = | year = 2008 | origyear = | pages = | quote = | isbn = 1-4160-3105-7 | oclc = | doi = | url = | accessdate = }}</ref>
 
==Action Items==
*This involves determining the next step to take in the patient management. For example:  Should I check for respiratory compensation in the case of metabolic acidosis or not?  Should I administer bicarbonate or not?
 
==References==
{{Reflist|2}}
 
==Resources==
<div class="mw-collapsible mw-collapsed">
* Wikicode for Icons
<div class="mw-collapsible-content">
<pre>
__NOTOC__
{| class="infobox" style="float:right;"
|-
| [[File:Siren.gif|30px|link={{PAGENAME}} resident survival guide]]|| <br> || <br>
| [[{{PAGENAME}} resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
{| class="infobox" style="float:right;"
|-
| [[File:Critical_Pathways.gif|88px|link={{PAGENAME}} critical pathways]]|| <br> || <br>
|}


</pre>
==Statement of Need==
</div></div>
Health care has undergone rapid changes over the years.  The world of medicine is rapidly evolving and there is the need of a tool to improve the quality of health care administered to patients with the aim of reducing the cost of health care, standardizing health care processes, reducing the occurrence of medical errors and optimizing the treatment outcomes both in the acute and home care settings. 


<div class="mw-collapsible mw-collapsed">
==How Can WikiDoc Meet These Needs?==
* Wikicode for Critical Pathways
The WikiDoc team has come up with the 'critical pathways project' intended to solve these problems.  The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care.  With the use of critical pathways, a health care provider can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency.  This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their knowledge and clinical experience.  This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care.  WikiDoc welcomes your involvement in contributing to this project.
<div class="mw-collapsible-content">
<pre>
__NOTOC__
{{CMG}}


==Critical Pathways==
==How Can You Help WikiDoc Meet These Needs?==
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
Your participation as an Assistant Editor-in-Chief in this project is very important to us at WikiDoc.  You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner.  It is required of you to have a strong grasp of medical knowledge, and preferably, a prior residency training and experience in order to apply. 
| BGCOLOR=FLORALWHITE | {{Smallcaps|[[{{PAGENAME}} critical pathways|{{PAGENAME}} critical pathways]]}}
|}
 
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| BGCOLOR=FLORALWHITE STYLE="WIDTH:50%"| Critical Point 1 || BGCOLOR=MEDIUMAQUAMARINE STYLE="WIDTH:25%" | [[{{PAGENAME}} A critical pathways|A]] ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | [[{{PAGENAMEE}} B critical pathways|B]]
|}
 
{|CELLPADDING=20 STYLE="WIDTH:50%; HEIGHT:50px" BORDER="1"
| BGCOLOR=FLORALWHITE STYLE="WIDTH:50%" | Critical Point 2 || BGCOLOR=MEDIUMAQUAMARINE STYLE="WIDTH:25%" | [[{{PAGENAME}} A1 critical pathways|A1]] ||BGCOLOR=LIGHTGRAY STYLE="WIDTH:25%" | [[{{PAGENAMEE}} A2 critical pathways|A2]]
|}
 
==Definition==
 
==Action Items==


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Critical pathways]]
[[Category:Disease]]
[[Category:Emergency medicine]]
[[Category:Medicine]]
[[Category:Primary care]]
[[Category:Signs and symptoms]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
</pre>
</div></div>
*How to create a page on WikiDoc: [[Help:Create a New Page|Click here]]
*How to add a reference: [[Help:Adding References to Articles|Click here]]


[[Category:Projects]]
[[Category:Projects]]

Latest revision as of 15:18, 16 August 2013

Critical Pathways
Introduction
Guide
Template
Topics

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]

Overview

Critical pathways are multidisciplinary management tools 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. The use of critical pathways in hospitals have been proven to improve the quality of care to patients, reduce the cost of care and reduce the length of hospital stay.[1] WikiDoc is proud to engage in such a project.

Statement of Need

Health care has undergone rapid changes over the years. The world of medicine is rapidly evolving and there is the need of a tool to improve the quality of health care administered to patients with the aim of reducing the cost of health care, standardizing health care processes, reducing the occurrence of medical errors and optimizing the treatment outcomes both in the acute and home care settings.

How Can WikiDoc Meet These Needs?

The WikiDoc team has come up with the 'critical pathways project' intended to solve these problems. The critical pathways project is focused on creating standardized treatment protocols for the management of medical conditions by applying evidence-based medical approaches to patient care. With the use of critical pathways, a health care provider can rapidly determine the treatment goals of a specific medical condition and institute appropriate actions in a chronological sequence with optimal efficiency. This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their knowledge and clinical experience. This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care. WikiDoc welcomes your involvement in contributing to this project.

How Can You Help WikiDoc Meet These Needs?

Your participation as an Assistant Editor-in-Chief in this project is very important to us at WikiDoc. You are welcome to apply if you are an intern, resident, attending physician, specialist, nurse or a nurse practitioner. It is required of you to have a strong grasp of medical knowledge, and preferably, a prior residency training and experience in order to apply.

References

  1. ↑ Renholm, M.; Leino-Kilpi, H.; Suominen, T. (2002). "Critical pathways. A systematic review". J Nurs Adm. 32 (4): 196–202. PMID 11984255. Unknown parameter |month= ignored (help)

Template:WH Template:WS

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