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Acute Flaccid Myelitis — Goals and Metrics — Clinical Pathway: Emergency and Inpatient

Evaluation of Suspected Acute Flaccid Myelitis Clinical Pathway — Emergency and Inpatient

Goals and Metrics

Goals

  • Enable early identification, testing, and treatment of children presenting with weakness consistent with AFM
  • Maximize yield of testing, anticipate complications, and emphasize early, appropriate treatment
  • Schedule follow up tests, (EMG and repeat MRI) which may improve prognostication
  • Consult Rehabilitation Medicine early to initiate rehabilitation program, educate patient, family

Metrics

  • Increase patients with spinal MRI ordered and performed within 24 hours of presentation
  • Increase patients with enteroviral testing within 24 hours of presentation
  • Decrease time to treatment
  • Increase % of cases reported to CDC within 2 days of diagnosis
  • Increase early involvement of Physical Medicine and Rehabilitation consultation team

 

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