Implementation of a Neonatal Hyperbilirubinemia Clinical Pathway in a Pediatric Emergency Department.

ABSTRACT:

Background

High volumes and competing priorities delay care initiation for neonatal hyperbilirubinemia within the pediatric emergency department (ED). Our freestanding children's hospital developed a quality improvement project to implement a nurse-initiated neonatal hyperbilirubinemia clinical pathway (CP) intended to decrease treatment initiation and intravenous fluid (IVF) rates.

Methods

A multidisciplinary team used the model for improvement to delineate and address key drivers of treatment delays. The team established a nurse-driven CP and enhanced the electronic health record to support and enforce new workflows, which included capillary specimen collection and phototherapy initiation before the first provider assessment. IVF criteria and laboratory evaluation were sta

SUBMITTER: Miller CR 

PROVIDER: S-EPMC11578199 | biostudies-literature | 2024 Nov-Dec

REPOSITORIES: biostudies-literature