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Existing guidance on caring for newborns with jaundice leaves room for considerable variation in clinical practice. A quality improvement effort at a large tertiary-care children's hospital aimed to reduce such variability through a rigorous, evidence-based process.
Researchers created a neonatal jaundice pathway using a step-wise approach including: (1) a description of the hospital's current state of care, (2) a comprehensive evidence review, (3) an algorithm and pathway order set creation, and (4) provider education.
Infants aged ≤14 days with a diagnosis of jaundice, hemolytic disease of the newborn, or both were eligible for the pathway (excluding those with gestational age <35 weeks, intensive care/specialty admission, or sepsis). Data …