Examples of Care pathways and Articles

Many of care pathways below were kindly provided at part of the research for a report concerning Care Pathways. The relevant section of the report can be found at the main contents section of the web site: 11.6 Care pathways Introduction to the research / concepts. While many of the care pathways below are now out of date the various formats and styles are still very relevant. Please note that you require Acrobat reader version 6 or later to view the links from this page.
  1. Detoxification (Northallerton Health Services) (p1,2,3,4,5,6,7)
  2. Trans-Urethral Resection of Prostate (Northallerton Health Services) (p1,2,3,4,5,6,7,8)
  3. Cystoscopy (Northallerton Health Services) (p1,2,3,4)
  4. Total Hip Replacement (North Durham Acute Hospitals NHS Trust - Shotley Bridge Hospital) (p1,2,3,4,5,6,7,8,9)
  5. Fractured Neck of Femur, Hemiarthroplasty / Dynamic Hip Screw (West Middlesex University Hospital) (p1,2,3,4,5,6,7)
  6. Paediatric Circumcision (Ashford Hospital) (p1,2,3,4)
  7. Stroke: Acute assessment stage (Ashford Hospital) (p1,2,3,4)
  8. Acute Myocardial Infarction (Ashford Hospital) (p1,2,3,4,5,6)
  9. Trans-Urethral Resection of Prostate (Hexham Hospital) (p1)
  10. Laperoscopic Cholecystectomy (Hexham Hospital) (p1, p2 (variance report))
  11. Acute Myocardial Infarction Summary sheet for audit (Ashford Hospital) (p1,2,3)
  12. Total Abdominal Hysterectomy (Ashford Hospital) (p1,2,3,4)
  13. Acute Asthma - A&E (Addenbrooke's Hospital Cambridge??) (p1)
  14. Ischaemic Cardiac Pain - A&E (Addenbrooke's Hospital Cambridge??) (p1,2)
  15. Acute Myocardial Infarction (Addenbrooke's Hospital Cambridge) (p1,2,3,4)
  16. Unstable Angina (Addenbrooke's Hospital Cambridge) (p1,2)
  17. MI Uncomplicated (American example of a 'Case Caremap') (p1,2)
  18. Acute Severe Asthma (Addenbrooke's Hospital Cambridge) (p1,2,3,4)

Introducing Anticipated Recovery Pathways (warning 8 mbytes big): A teaching Hospital Experience. Article by Terina Riches, Louise Stead & Charlotte Espie at St. Mary's Hospital London (Int jour Health Care Quality Assurance 7 (5) 1994 21-24)19.

Another article I would recommend: Coronary Artery Bypass (Mount Clemens Geneal Hospital) Taken from Hofman P A 1993 Critical Path Method: An important tool for coordinating clinical care. Jour of Quality Improvement 19 (7) 235 - 246

I would also recommend Pathways of Care (Blackwell science) 1997 edited by Sue Johnson who worked at Ashford Hospital where several of the above examples come from.

The NHS connecting for health program included a e-care pathway project and you can find two excellent talks from this program given in 2007 at;

One of those involved in the project, Claire Whittle, is undertaking a PHd looking at care pathways and her web page has some interesting references to care pathways at http://www.healthscinet.bham.ac.uk/Staff/StaffProfile.asp?staffID=16889

Haringey NHS trust provide a list of local carepathways at: http://www.haringey.nhs.uk/services/specialist/care_pathways_and_guidelines/index.shtm

Outside the UK:
A excellent presentation (2007) which includes detailed outcomes measures demonstrating the effectiveness of care pathways can be found at: http://www.bmia.be/Events/2007/Conference-2007-5/WSermeus.pdf 

Robin Beaumont Tel. UK 0191 2731150 e-mail: robin@organplayers.co.uk 18/7/2009