2019
DOI: 10.1542/peds.2018-2201
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Reducing Variability in the Infant Sepsis Evaluation (REVISE): A National Quality Initiative

Abstract: BACKGROUND: Substantial variability exists in the care of febrile, well-appearing infants. We aimed to assess the impact of a national quality initiative on appropriate hospitalization and length of stay (LOS) in this population. METHODS: The initiative, entitled Reducing Variability in the Infant Sepsis Evaluation (REVISE), was designed to standardize care for well-appearing infants ages 7 to 60 days evaluated for fever without an obvious source. Twelve months of baseline and 12 months of implementation data … Show more

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Cited by 52 publications
(46 citation statements)
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“…Quality-based measures, such as the recently reported Reducing Excessive Variability in the Infant Sepsis Evaluation, which includes clinical algorithms, order sets, education, and a mobile phone application for the management of febrile infants, can reduce variability with respect to hospital admission and lengths of stay. 27 Bacteremia is relatively uncommon among infants >90 days of age. In one multicenter review of 57,000 blood cultures from children 3-36 months of age, rates of bacteremia were <0.5%.…”
Section: Discussionmentioning
confidence: 99%
“…Quality-based measures, such as the recently reported Reducing Excessive Variability in the Infant Sepsis Evaluation, which includes clinical algorithms, order sets, education, and a mobile phone application for the management of febrile infants, can reduce variability with respect to hospital admission and lengths of stay. 27 Bacteremia is relatively uncommon among infants >90 days of age. In one multicenter review of 57,000 blood cultures from children 3-36 months of age, rates of bacteremia were <0.5%.…”
Section: Discussionmentioning
confidence: 99%
“…Similar variability in improvement has been previously described in other large-scale QI collaborative projects. 30 32 In our collaborative, sites varied in several factors highlighted in Table 1 . Local operational and demographic factors can significantly affect intervention success.…”
Section: Discussionmentioning
confidence: 99%
“…15,16 The goal of REVISE was to increase the rate of appropriate evaluation, hospitalization, and length of stay (LOS) for well-appearing febrile infants aged 7 to 60 days presenting to the emergency department (ED) or inpatient setting. 17 Of note, there were no specific recommendations on when to obtain CSF testing included as part of the intervention package for this project. A total of 124 universityaffiliated and community hospitals participated, and deidentified data were collected retrospectively on eligible patients evaluated from September 2015 to November 2017.…”
Section: Methodsmentioning
confidence: 99%