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Acute Bacterial Rhinosinusitis Clinical Pathway, Primary Care, Emergency Department and Inpatient – Goals and Metrics

Acute Bacterial Rhinosinusitis Clinical Pathway – Primary Care, Emergency Department and Inpatient

Goals

  • Increase the proportion of children seen for sinusitis in primary care who receive recommended choice and duration of therapy by 50% within 6 mos after creation of the pathway, reducing any baseline disparities by race, ethnicity, language, and insurance status by at least 50%
  • Clarify diagnostic criteria for acute bacterial rhinosinusitis
  • Encourage observation for children who do not have severe/worsening symptoms

Metrics

  • Antibiotics prescribed for sinusitis
    (# of children with sinusitis who are prescribed antibiotics) / (# of children with sinusitis)
  • Children prescribed narrow-spectrum antibiotics for sinusitis
    (# of children with sinusitis who are prescribed amoxicillin) / (# of children with sinusitis)
  • Children prescribed short-duration antibiotics for sinusitis
    (# of children with sinusitis prescribed ≤ 7 days of antibiotics) / (# of children with sinusitis)

 

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