Abstract
Background: Decision thresholds are critical components of evidence based decision making. Providers assess their patient’s disease risk and determine if it exceeds their threshold for additional testing or treatment. Neonatal early onset sepsis (EOS) occurs infrequently but is associated with significant morbidity and mortality. Less than 1 in 1000 newborns have EOS but 15% have blood tests and 5-10% receive antibiotics. The Kaiser-Permanente (KP) calculator, an online decision aid, recommends blood testing for EOS risk > 1 per 1000 and antibiotics for EOS risk > 3 per 1000. These decision thresholds …
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