Perinatal Urinary Tract Dilation Clinical Pathway — ICU, Inpatient, Outpatient Specialty Care, Primary Care
Perinatal Urinary Tract Dilation Clinical Pathway — ICU, Inpatient, Outpatient Specialty Care, Primary Care
Goals
- Decrease variation in the initial evaluation and management of antenatal/postnatal UTD
- Decrease unnecessary imaging
- Decrease unnecessary antibiotics
- Decrease unnecessary inpatient specialty consults
- Improve inpatient workflow coordinating management plan for infant (i.e., improved communication of plan of care with parents, decreased delayed discharges)
Metrics
- Age at initial ultrasound (< 48 hours, 48-72 hours, or older)
- Administration of antibiotic prophylaxis
- Timing of initial Urology inpatient consult (if present), and initial postnatal Urology consult visit
- Development of UTI
- Adverse events from delaying the initial postnatal ultrasound to 2-4 weeks of age in low risk patients (UTI, symptomatic obstruction)
- Need for surgery at < 6 months of age
- Number of VCUGs/ceVUS and renal function studies (MAG3 and fMRU) obtained before and after initial Urology visit