Improvement Opportunities for Practitioners: Developing a Clinical Pathway

Gerd McGwire*, Ann Marie Tantoco, Allison Heacock

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Failure to thrive (FTT) is a common reason for pediatric hospitalization, especially for children less than 24 months of age. High-quality evidence on the management of FTT in hospitalized children is scarce, resulting in a variety of clinical practices. We here outline how to develop a clinical pathway for the inpatient management of FTT in infants and children less than 24 months of age. A multidisciplinary team approach is recommended to develop evidence-based recommendations for care contextualized to the developers’ institution. Pathway implementation by an electronic medical record (EMR) order set and examples of process and outcome metrics for an analytics dashboard are provided. Pathway implementation is best combined with a series of quality improvement (QI) initiatives to improve the quality and value of care.

Original languageEnglish (US)
Title of host publicationFailure to Thrive and Malnutrition
Subtitle of host publicationA Practical, Evidence-Based Clinical Guide
PublisherSpringer International Publishing
Number of pages26
ISBN (Electronic)9783031141645
ISBN (Print)9783031141638
StatePublished - Jan 1 2023


  • Failure to thrive (FTT)
  • Malnutrition
  • Pathway
  • Quality Improvement (QI)
  • Weight faltering

ASJC Scopus subject areas

  • General Medicine


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