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Preseptal or Orbital Cellulitis Clinical Pathway, All Settings – Goals and Metrics

Preseptal or Orbital Cellulitis Clinical Pathway — All Settings

Goals

  • Reduce variability in clinical evaluation and treatment for children with preseptal or orbital cellulitis
  • Standardize
    • Acute evaluation
    • Photographic documentation
    • Decision-making process for surgical management
    • Consultation
    • Admission and discharge criteria
    • Antibiotic choice
    • Outpatient follow-up
  • Decreasing repeat imaging or other testing

Metrics

  • Hospital length of stay by diagnosis
  • % of children who require antibiotic escalation
  • % of children requiring second imaging
  • % of admitted children who follow up with Ophthalmology
  • % of preseptal cellulitis managed outpatient later admitted
  • Complications
    • Vision loss, motility/alignment (strabismus), optic nerve atrophy
    • Intracranial spread, mortality
  • Readmissions
    • Days to readmission
  • Compliance with antibiotic guidelines
  • Utilization of labs

 

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