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Febrile Infant — Goals and Metrics — Clinical Pathway: Emergency Department and Inpatient

Febrile Infant Clinical Pathway — Emergency Department and Inpatient

Goals

The Goals of the Inpatient Febrile Young Infant Clinical Pathway are as follows:

  • Provide evidence-based, best-practice care to all young infants admitted to CHOP who present with fever
  • Improve the safety and efficiency of care for well-appearing febrile young infants (0-56 days) by standardizing management decisions
  • Improve efficiency and communication among the healthcare team
  • Educate physicians and nurses about the care of febrile young infants

Metrics

  • Rate of SBI and IBI (invasive bacterial infection) identified
  • Sensitivity/specificity of positive IMs for SBI
  • Rate of missed SBI and IBI
  • Rate of 7 day ED revisits/readmissions
  • Rate of 22-28 day olds who did not receive antimicrobials
  • Rate of 29-56 days olds who receive an LP, IM status
  • Rate of antibiotics started on floor (22-28 day olds initially off antibiotics)
  • Rate of LPs performed on the inpatient floor
  • Hospital length of stay
  • % of nursing standing Febrile Infant pathway orders

 

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