ED Pathway for Evaluation/Treatment of Child with Suspected Appendicitis

Metrics for Patients with Suspected Appendicitis

EMERGENCY DEPARTMENT

Imaging

Proportion of patients with:

Treatment

Among patients diagnosed with appendicitis in the ED:

Potential Delay in Diagnoses

Appendicitis not diagnosed on 1st ED visit, diagnosed on 2nd ED visit within 72 hours

Other serious diagnosis on patients admitted or discharged and return within 72 hours

Disposition

Inpatient Treatment

Negative appendectomy rate
Perforation rate

Imaging

Repeat US, CT
IR procedure for abscess drainage
IR procedure for PCC

Correct Antibiotics

% patients receiving ceftriaxone + metronidazole Antibiotics
% changed to Zosyn

Time to OR

ED admission to OR time for patients (% time is < 12 hours)

Surgical Approach

Laparascopic
Open
Interval

Discharge Medications

Antibiotics, route, duration
Pain medications

Hospital LOS

Admit to discharge
% < 48 hours

Discharge

% discharged on oral antibiotics
% discharged with PICC

Re-hospitalization – Diagnosis on Readmission

Re-hospitalization within 7 days, 30 days
Diagnosis on readmission
IR Procedure or Second OR procedure

Financial Outcomes

Uncomplicated
Complicated

Radiology

Ultrasound Results

% No appendicitis
% Appendicitis
% Appendix not seen