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Suspected Appendicitis – Emergency Department – Goals and Metrics

Suspected Appendicitis Clinical Pathway – Emergency Department

Goals

Standardize the evaluation for suspected appendicitis, including laboratory evaluation, imaging and antibiotic therapy.

Metrics

US
  • Count
    • % Normal
    • % Appendix seen and positive
    • % Appendix not seen with secondary signs
    • % Appendix not seen with no secondary signs
  • Age, sex, pubertal female
  • Disposition
    • DC
    • OR
    • Admit observation
  • Time to Dx
MRI
  • Count
    • % Only imaging study
    • % As second imaging study
  • % Diagnosis
  • % Alternative Dx
CT
  • Count
    • % Normal
    • % Abnormal
  • Diagnosis
  • Indications for CT
  • Missed/Delayed Appendicitis
    • Dx at 48 hrs, 72 hrs, 7 days after 1st ED visit
  • Negative Appendicitis
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