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Febrile Infant Clinical Pathway – Emergency Department and Inpatient – Goals and Metrics

Febrile Infant Clinical Pathway – Emergency Department and Inpatient

Goals

  • 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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