Croup Clinical Pathway — Emergency Department and Inpatient
Croup Clinical Pathway — Emergency Department and Inpatient
Goals
- Reduce:
- ED length of stay
- Repeat visits
- Unnecessary racemic epinephrine use, X-rays, viral testing, subspecialist consultation
- Assure that all children with croup receive dexamethasone
- Identify children with atypical croup suggestive of alternative diagnoses
Metrics
ED
- Rate of ED repeat visit, goal < 5%
- % children receiving dexamethasone, % receiving correct dose 0.3 mg/kg
- % of children with X-rays performed
- % of children receiving racemic epinephrine
- Disposition
Inpatient
- Hospital LOS
- % children receiving racemic epinephrine ( 1 dose, > 1 dose)
- % subspecialist consultation
- % with an alternative diagnosis