Pediatric Nephrology

, Volume 29, Issue 10, pp 1903–1914

The importance of clinical pathways and protocols in pediatric nephrology

  • Cherry Mammen
  • Douglas G. Matsell
  • Kevin V. Lemley


Modern clinical practice is increasingly delivered by teams of individuals working within an environment of rising complexity and daunting patient care loads. Clinical pathways, protocols and checklists offer a way to assure coordination, efficiency, quality and safety in this chaotic environment. In this review, we discuss some of the principal characteristics of these clinical tools, some of the challenges involved with introducing them into clinical practice and the evidence that they can positively affect patient and system outcomes. We believe pediatric nephrology, as a discipline, is ready for the widespread introduction of these important quality tools.


Critical pathway Clinical guideline Checklist Continuous performance improvement Outcome metrics Quality assurance Patient safety 

Copyright information

© IPNA 2013

Authors and Affiliations

  • Cherry Mammen
    • 1
    • 4
  • Douglas G. Matsell
    • 1
  • Kevin V. Lemley
    • 2
    • 3
  1. 1.Division of Nephrology, Department of PediatricsUniversity of British ColumbiaVancouverCanada
  2. 2.Department of PediatricsUniversity of Southern California Keck School of MedicineLos AngelesUSA
  3. 3.Division of NephrologyChildren’s Hospital Los AngelesLos AngelesUSA
  4. 4.Division of Nephrology, Department of PediatricsBritish Columbia’s Children’s HospitalVancouverCanada

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