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Research Article  |   March 2000
Critical Pathway Development: An Integrative Literature Review
Author Affiliations
  • Andy Harkleroad, MSOT, OTR/L, is Staff Therapist, RehabWorks, Epworth Manor, 951 Washington Avenue, Tyrone, Pennsylvania 16686-1497, Allegheny Lutheran Social Ministries, Hollidaysburg, Pennsylvania; and Pennknoll Village, Bedford, Pennsylvania
  • Dennis Schirf, MSOT, OTR/L, is Staff Therapist, Jameson Health System, New Castle, Pennsylvania
  • Jack Volpe, MSOT, OTR/L, is Staff Therapist, DuBois Regional Medical Center, DuBois, Pennsylvania
  • Margo B. Holm, PhD, OTR/L, FAOTA, ABDA, is Professor, and Director of Post-Professional Education, Occupational Therapy Department, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, and Adjunct Professor of Occupational Therapy, College Misericordia, Dallas, Pennsylvania
Article Information
Pediatric Evaluation and Intervention / Critical Pathways
Research Article   |   March 2000
Critical Pathway Development: An Integrative Literature Review
American Journal of Occupational Therapy, March/April 2000, Vol. 54, 148-154. doi:10.5014/ajot.54.2.148
American Journal of Occupational Therapy, March/April 2000, Vol. 54, 148-154. doi:10.5014/ajot.54.2.148
Abstract

Objective. The purpose of this integrative literature review was to summarize and analyze the methods used to develop critical pathways.

Method. Relevant articles published in occupational therapy, physical therapy, nursing, and medical journals between 1992 and 1997 were reviewed to extract various methods and the steps or criteria used for each method.

Results. Nine approaches to critical pathway development and the steps or criteria involved in each method are presented in tabular format. The most detailed approach was used as a gold standard, and the other approaches were compared to it.

Conclusion. This review should assist occupational therapy practitioners working with various diagnostic populations to understand the methods used, and steps involved, in the development of critical pathways. It should also serve as a resource for practitioners who have the opportunity to participate in critical pathway development.