Febrile Infant 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