Impact of a Clinical Standard Work Pathway on Management and Outcomes of Pediatric Parapneumonic Effusion and Empyema

EHR integration of pathway-based order set led to uptake of some recommended practices for management of pediatric empyema. Across the cohort, we identified opportunities to address gaps including an association between delayed fibrinolytic administration and higher rates of repeat procedures, and differences in LOS and repeat procedures by race/ethnicity and LOC. Clinical standard pathways integrated with informatics and quality improvement can be leveraged to prioritize equitable high-quality care for children hospitalized with empyema.