Abstract

Despite efforts to standardize therapies for high cost Diagnosis Related Groups, little data exists regarding experiences with critically ill infants. We hypothesized that use of a carepath for extremely low birthweight (ELBW) infants in the first 14 days of life would result in 1) decreased variability in care and 2) decreased unnecessary laboratory procedures. This multidisciplinary carepath contained guidelines for laboratory monitoring, nutritional management, medications, nursing activities and parent education. Resource utilization in this group of 32 infants was compared to data collected prospectively on a group of 25 infants who would have been eligible for the carepath in the 9 months immediately prior to implementation. * p < 0.01 ** p <.05 Table

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