Added Demo march 3 2026 qi image.drawio
This commit is contained in:
Daniel Onyejesi
parent
a73f437b11
commit
3f13a5899a
1 changed files with 158 additions and 0 deletions
158
Demo march 3 2026 qi image.drawio
Normal file
158
Demo march 3 2026 qi image.drawio
Normal file
|
|
@ -0,0 +1,158 @@
|
|||
<mxfile host="app.diagrams.net" agent="Mozilla/5.0 (X11; Linux x86_64; rv:147.0) Gecko/20100101 Firefox/147.0" version="29.6.0">
|
||||
<diagram name="CXR QI Flowchart" id="LihmreJvLg-ZU8ac7HGa">
|
||||
<mxGraphModel dx="1426" dy="765" grid="1" gridSize="10" guides="1" tooltips="1" connect="1" arrows="1" fold="1" page="1" pageScale="1" pageWidth="850" pageHeight="1100" math="0" shadow="0">
|
||||
<root>
|
||||
<mxCell id="0" />
|
||||
<mxCell id="1" parent="0" />
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-1" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="<b style="font-size:15px;letter-spacing:1px;">QI TO DECREASE UNNECESSARY CHEST X-RAY<br>IN ACUTE ASTHMA EXACERBATION IN CHILDREN 2–18 YEARS</b>" vertex="1">
|
||||
<mxGeometry height="50" width="700" x="215" y="30" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-2" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=2;arcSize=12;verticalAlign=top;align=left;shadow=1;" value="<div style="text-align:left;padding:10px;"><b style="font-size:12px;">INCLUSION CRITERIA</b><br><br>• Children age 2–18 years<br>• Established asthma diagnosis<br>• Presentation consistent with acute asthma exacerbation</div>" vertex="1">
|
||||
<mxGeometry height="130" width="330" x="30" y="110" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-3" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=8;verticalAlign=top;align=left;shadow=1;" value="" vertex="1">
|
||||
<mxGeometry height="310" width="530" x="420" y="110" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-4" parent="1" style="text;html=1;align=left;verticalAlign=top;resizable=0;points=[];autosize=0;strokeColor=none;fillColor=none;" value="<div style="text-align:left;padding:10px 10px 4px 10px;"><b style="font-size:12px;">EXCLUSION CRITERIA</b><br><br>• Comorbidities: sickle cell disease, congenital heart disease,<br> immunodeficiency, BPD, severe malnutrition<br>• First-time wheezing unrelated to prior asthma diagnosis</div>" vertex="1">
|
||||
<mxGeometry height="105" width="510" x="430" y="115" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-5" parent="1" style="line;strokeWidth=1;strokeColor=#b85450;dashed=1;dashPattern=5 3;html=1;" value="" vertex="1">
|
||||
<mxGeometry height="1" width="490" x="440" y="225" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-6" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f5e6e6;strokeColor=#d4a0a0;strokeWidth=1;arcSize=10;verticalAlign=top;align=left;shadow=0;dashed=1;dashPattern=4 4;" value="<div style="text-align:left;padding:8px 10px;"><b style="font-size:11px;color:#b85450;">⚑ Other conditions where CXR is required — <i>obtain CXR directly:</i></b><br><br><table style="font-size:11px;border-collapse:collapse;width:100%;"><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Physical findings suggestive of <b>pneumonia or parenchymal disease</b><br><span style="color:#666;">(focal crackles, dullness, fever)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Suspicion of <b>inhaled foreign body</b><br><span style="color:#666;">(sudden onset, unilateral decreased breath sounds)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Suspicion of <b>structural complications</b><br><span style="color:#666;">(pneumothorax, pneumomediastinum)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;"><b>Trauma, post-op</b></td></tr></table></div>" vertex="1">
|
||||
<mxGeometry height="175" width="505" x="435" y="235" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-7" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="195" y="240" as="sourcePoint" />
|
||||
<mxPoint x="195" y="300" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-8" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="195" y="300" as="sourcePoint" />
|
||||
<mxPoint x="565" y="300" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-9" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="685" y="420" as="sourcePoint" />
|
||||
<mxPoint x="685" y="450" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-10" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="685" y="450" as="sourcePoint" />
|
||||
<mxPoint x="565" y="450" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-11" edge="1" parent="1" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="565" y="300" as="sourcePoint" />
|
||||
<mxPoint x="565" y="480" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-12" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#d5e8d4;strokeColor=#82b366;strokeWidth=2;arcSize=20;shadow=1;" value="<b style="font-size:13px;">DO NOT ROUTINELY OBTAIN CHEST X-RAY</b><br><i>in typical / uncomplicated asthma exacerbation</i>" vertex="1">
|
||||
<mxGeometry height="65" width="470" x="330" y="480" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-13" edge="1" parent="1" source="gnY04mpxMdjBhenlWdN_-12" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#666666;rounded=1;exitX=0.5;exitY=1;exitDx=0;exitDy=0;entryX=0.5;entryY=0;entryDx=0;entryDy=0;" target="gnY04mpxMdjBhenlWdN_-14" value="">
|
||||
<mxGeometry relative="1" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-14" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fff2cc;strokeColor=#d6b656;strokeWidth=2;arcSize=20;shadow=1;" value="<b style="font-size:13px;">CONSIDER OBTAINING CXR IF:</b>" vertex="1">
|
||||
<mxGeometry height="55" width="350" x="390" y="585" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-15" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="<b style="font-size:18px;color:#cc0000;">OR</b>" vertex="1">
|
||||
<mxGeometry height="40" width="50" x="530" y="670" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-16" edge="1" parent="1" source="gnY04mpxMdjBhenlWdN_-14" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#cc0000;rounded=1;curved=1;exitX=0;exitY=1;exitDx=0;exitDy=0;entryX=0.5;entryY=0;entryDx=0;entryDy=0;" target="gnY04mpxMdjBhenlWdN_-17" value="">
|
||||
<mxGeometry relative="1" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-17" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=15;shadow=1;" value="<b style="font-size:12px;">Severe Respiratory Distress<br>Respiratory Score 7–12</b>" vertex="1">
|
||||
<mxGeometry height="80" width="270" x="50" y="710" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-18" edge="1" parent="1" source="gnY04mpxMdjBhenlWdN_-14" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#4472C4;rounded=1;curved=1;exitX=1;exitY=1;exitDx=0;exitDy=0;entryX=0.5;entryY=0;entryDx=0;entryDy=0;" target="gnY04mpxMdjBhenlWdN_-19" value="">
|
||||
<mxGeometry relative="1" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-19" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=15;shadow=1;" value="<b style="font-size:12px;">Inadequate Response After ≥ 2 Hours<br>of Routine Asthma Exacerbation Management</b><br><i>WITH any of the following:</i>" vertex="1">
|
||||
<mxGeometry height="90" width="400" x="520" y="705" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-20" edge="1" parent="1" source="gnY04mpxMdjBhenlWdN_-19" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#4472C4;rounded=1;exitX=0.5;exitY=1;exitDx=0;exitDy=0;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="720" y="830" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-21" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=1;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>Past Medical<br>History</b>" vertex="1">
|
||||
<mxGeometry height="55" width="160" x="450" y="840" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-22" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=1;left=0;bottom=1;right=1;align=left;verticalAlign=middle;fontSize=11;" value="<div style="padding-left:12px;">1. History of recurrent pneumonia<br>2. History of pneumothorax</div>" vertex="1">
|
||||
<mxGeometry height="55" width="340" x="610" y="840" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-23" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>RR &gt; 40*</b>" vertex="1">
|
||||
<mxGeometry height="40" width="160" x="450" y="895" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-24" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="2–5 years of age" vertex="1">
|
||||
<mxGeometry height="40" width="340" x="610" y="895" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-25" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>RR &gt; 30*</b>" vertex="1">
|
||||
<mxGeometry height="40" width="160" x="450" y="935" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-26" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="6–8 years of age" vertex="1">
|
||||
<mxGeometry height="40" width="340" x="610" y="935" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-27" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>RR &gt; 20*</b>" vertex="1">
|
||||
<mxGeometry height="40" width="160" x="450" y="975" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-28" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="9–18 years of age" vertex="1">
|
||||
<mxGeometry height="40" width="340" x="610" y="975" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-29" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>Pulse Oximetry</b>" vertex="1">
|
||||
<mxGeometry height="75" width="160" x="450" y="1015" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-30" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=left;verticalAlign=middle;" value="<div style="text-align:left;padding-left:12px;font-size:11px;">Lowest SpO₂ &lt;91% on room air*<br><b>OR</b> required inhaled FiO₂ &gt;50% to keep saturations &gt;90%<br><i style="color:#888;">* after 2 hours of routine management</i></div>" vertex="1">
|
||||
<mxGeometry height="75" width="340" x="610" y="1015" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-31" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="<b>Lung Exam</b>" vertex="1">
|
||||
<mxGeometry height="45" width="160" x="450" y="1090" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-32" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="Localizing findings or asymmetry on lung examination" vertex="1">
|
||||
<mxGeometry height="45" width="340" x="610" y="1090" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-33" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#cc0000;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="185" y="790" as="sourcePoint" />
|
||||
<mxPoint x="185" y="1200" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-34" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#cc0000;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="185" y="1200" as="sourcePoint" />
|
||||
<mxPoint x="430" y="1200" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-35" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#4472C4;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="720" y="1135" as="sourcePoint" />
|
||||
<mxPoint x="720" y="1200" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-36" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#4472C4;rounded=1;" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="720" y="1200" as="sourcePoint" />
|
||||
<mxPoint x="610" y="1200" as="targetPoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-37" edge="1" parent="1" style="endArrow=classic;endSize=10;html=1;strokeWidth=2;strokeColor=#333333;rounded=1;" target="gnY04mpxMdjBhenlWdN_-38" value="">
|
||||
<mxGeometry relative="1" as="geometry">
|
||||
<mxPoint x="520" y="1200" as="sourcePoint" />
|
||||
</mxGeometry>
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-38" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#d5e8d4;strokeColor=#82b366;strokeWidth=2;arcSize=20;shadow=1;" value="<b style="font-size:14px;">→ OBTAIN CHEST X-RAY</b>" vertex="1">
|
||||
<mxGeometry height="55" width="420" x="320" y="1220" as="geometry" />
|
||||
</mxCell>
|
||||
<mxCell id="gnY04mpxMdjBhenlWdN_-39" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="<i style="font-size:10px;color:#666666;">* Respiratory rate thresholds apply after ≥ 2 hours of routine asthma exacerbation management</i>" vertex="1">
|
||||
<mxGeometry height="30" width="520" x="260" y="1295" as="geometry" />
|
||||
</mxCell>
|
||||
</root>
|
||||
</mxGraphModel>
|
||||
</diagram>
|
||||
</mxfile>
|
||||
Loading…
Reference in a new issue