ETHICAL, LEGAL AND ORGANIZATIONAL ISSUES IN THE ICU: Edited by Julian BionDo integrated care pathways have a place in critical care?Ford, Stephen R.a; Pearse, Rupert M.a,bAuthor Information aAdult Critical Care Unit, Royal London Hospital, Whitechapel bBarts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK Correspondence to Stephen R. Ford, MBChB, MRCP, FRCA, Critical Care Unit, Royal London Hospital, Whitechapel, London E1 1BB, UK. Tel: +44 203 594 0346; e-mail: [email protected] Current Opinion in Critical Care: December 2012 - Volume 18 - Issue 6 - p 683-687 doi: 10.1097/MCC.0b013e328357a2f5 Buy Metrics Abstract Purpose of review Recent high-profile campaigns have endeavoured to improve the quality of critical care provision. Within other specialities, integrated care pathways (ICPs) have been advocated as an effective means of improving practice. We review the published research regarding their efficacy and potential role in critical care. Recent findings ICPs have been used in many specialities to good effect, reducing morbidity, increasing adherence to practice guidelines and improving multidisciplinary communication and efficiency. Many aspects of ICPs are already used in critical and perioperative care. Summary ICPs show promise as a mechanism for improving efficiency and care quality in specific circumstances. However, little research specific to critical care has been undertaken and it may be challenging to protocolize the multisystem care required in many critical illnesses. Although further evaluation is required to find the most appropriate way of incorporating ICPs into critical care, we commend their thoughtful adoption. © 2012 Lippincott Williams & Wilkins, Inc.