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Steroid Stress Dosing and Weaning Clinical Pathway – Goals and Metrics

Steroid Stress Dosing and Weaning Clinical Pathway

Goals

  • Standardize indications, dosing recommendations and length of treatment for stress dose glucocorticoid therapy.
  • Guide weaning of glucocorticoids below physiologic dosing levels or following prolonged stress dosing.
  • Standardize recommendations for hypothalamic-pituitary-adrenal axis evaluation.

Metrics

  • Increase documentation of secondary adrenal insufficiency on Epic problem list
  • Increase stress dosing instructions provided to patients on glucocorticoid therapy
  • Increase % children who require stress dosing that receive injectable hydrocortisone (Solu-Cortef)
  • Decrease % children removed from BPA registry who do not meet definition of chronic steroid therapy

 

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