danvics/drawio
1
0
Fork 0
Code Issues Pull requests Projects Releases Packages Wiki Activity Actions
drawio/QI Pathway Feb 26 2026.drawio
Daniel Onyejesi a331b74775 Added QI Pathway Feb 26 2026.drawio
2026-02-26 08:31:09 -05:00

142 lines
15 KiB
Text
Raw Permalink Blame History

This file contains ambiguous Unicode characters

This file contains Unicode characters that might be confused with other characters. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.

<mxfile host="app.diagrams.net" agent="Mozilla/5.0 (X11; Linux x86_64; rv:147.0) Gecko/20100101 Firefox/147.0" version="29.5.5">
<diagram name="Asthma QI CXR Guideline" id="EH4W1K4nvbk0O-P731hb">
<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="73OujeTaXOekwwMmsyg--1" parent="1" style="text;html=1;align=center;verticalAlign=middle;whiteSpace=wrap;fontSize=14;fontColor=#1a1a1a;" value="&lt;b&gt;QI TO DECREASE UNNECESSARY CHEST X-RAY&lt;br&gt;IN ACUTE ASTHMA EXACERBATION IN CHILDREN 2–18 YEARS&lt;/b&gt;" vertex="1">
<mxGeometry height="50" width="800" x="140" y="60" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--2" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;align=left;verticalAlign=top;spacingLeft=10;spacingRight=10;spacingTop=8;fontSize=11;" value="&lt;b&gt;INCLUSION CRITERIA&lt;/b&gt;&lt;br&gt;&lt;br&gt;• Children age 2–18 years&lt;br&gt;• Established asthma diagnosis&lt;br&gt;• Presentation consistent with acute asthma exacerbation" vertex="1">
<mxGeometry height="110" width="380" x="90" y="130" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--3" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;align=left;verticalAlign=top;spacingLeft=10;spacingRight=10;spacingTop=8;fontSize=11;" value="&lt;b&gt;EXCLUSION CRITERIA&lt;/b&gt;&lt;br&gt;&lt;br&gt;• Comorbidities: sickle cell disease, congenital heart disease, immunodeficiency, BPD, severe malnutrition&lt;br&gt;• First-time wheezing unrelated to prior asthma diagnosis&lt;br&gt;• Other conditions where CXR is required (e.g., trauma, post-op)" vertex="1">
<mxGeometry height="110" width="430" x="510" y="130" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--4" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--2" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#333333;" target="73OujeTaXOekwwMmsyg--5">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--5" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#e6ffe6;strokeColor=#82b366;fontSize=13;fontColor=#1a1a1a;align=center;verticalAlign=middle;spacingTop=5;spacingBottom=5;" value="&lt;b&gt;DO NOT ROUTINELY OBTAIN CHEST X-RAY&lt;br&gt;in typical / uncomplicated asthma exacerbation&lt;/b&gt;" vertex="1">
<mxGeometry height="60" width="550" x="240" y="280" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--6" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--5" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#333333;" target="73OujeTaXOekwwMmsyg--7">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--7" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fff2cc;strokeColor=#d6b656;fontSize=14;fontColor=#1a1a1a;align=center;verticalAlign=middle;" value="&lt;b&gt;CONSIDER OBTAINING CXR IF:&lt;/b&gt;" vertex="1">
<mxGeometry height="45" width="350" x="340" y="380" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--8" parent="1" style="text;html=1;align=center;verticalAlign=middle;fontSize=18;fontColor=#cc0000;fontStyle=1;" value="&lt;b&gt;OR&lt;/b&gt;" vertex="1">
<mxGeometry height="40" width="60" x="485" y="465" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--9" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--7" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#cc0000;entryX=0.5;entryY=0;exitX=0.25;exitY=1;" target="73OujeTaXOekwwMmsyg--11">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--10" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--7" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#cc0000;entryX=0.5;entryY=0;exitX=0.75;exitY=1;" target="73OujeTaXOekwwMmsyg--12">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--11" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;fontSize=12;align=center;verticalAlign=middle;strokeWidth=2;" value="&lt;br&gt;&lt;br&gt;&lt;b&gt;Severe Respiratory Distress&lt;br&gt;Respiratory Score 7–12&lt;/b&gt;" vertex="1">
<mxGeometry height="100" width="300" x="90" y="520" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--12" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;fontSize=12;align=center;verticalAlign=middle;strokeWidth=2;" value="&lt;br&gt;&lt;br&gt;&lt;b&gt;Inadequate Response After ≥ 2 Hours&lt;br&gt;of Routine Asthma Exacerbation Management&lt;/b&gt;&lt;br&gt;&lt;i&gt;WITH any of the following:&lt;/i&gt;" vertex="1">
<mxGeometry height="120" width="370" x="540" y="510" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--13" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--12" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#6c8ebf;" target="73OujeTaXOekwwMmsyg--14">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--14" parent="1" style="shape=table;startSize=0;container=1;collapsible=0;childLayout=tableLayout;strokeColor=#6c8ebf;fillColor=#ffffff;rounded=1;strokeWidth=2;fontSize=11;" value="" vertex="1">
<mxGeometry height="290" width="510" x="470" y="670" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--15" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#dae8fc;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="60" width="510" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--16" parent="73OujeTaXOekwwMmsyg--15" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#dae8fc;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;Past Medical&lt;br&gt;History&lt;/b&gt;" vertex="1">
<mxGeometry height="60" width="150" as="geometry">
<mxRectangle height="60" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--17" parent="73OujeTaXOekwwMmsyg--15" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=left;spacingLeft=10;fontSize=11;" value="1. History of recurrent pneumonia&lt;br&gt;2. History of pneumothorax" vertex="1">
<mxGeometry height="60" width="360" x="150" as="geometry">
<mxRectangle height="60" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--18" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#ffffff;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="40" width="510" y="60" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--19" parent="73OujeTaXOekwwMmsyg--18" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#f5f5f5;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 40*&lt;/b&gt;" vertex="1">
<mxGeometry height="40" width="150" as="geometry">
<mxRectangle height="40" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--20" parent="73OujeTaXOekwwMmsyg--18" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=center;fontSize=11;" value="2–5 years of age" vertex="1">
<mxGeometry height="40" width="360" x="150" as="geometry">
<mxRectangle height="40" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--21" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#ffffff;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="40" width="510" y="100" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--22" parent="73OujeTaXOekwwMmsyg--21" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#f5f5f5;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 30*&lt;/b&gt;" vertex="1">
<mxGeometry height="40" width="150" as="geometry">
<mxRectangle height="40" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--23" parent="73OujeTaXOekwwMmsyg--21" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=center;fontSize=11;" value="6–8 years of age" vertex="1">
<mxGeometry height="40" width="360" x="150" as="geometry">
<mxRectangle height="40" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--24" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#ffffff;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="40" width="510" y="140" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--25" parent="73OujeTaXOekwwMmsyg--24" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#f5f5f5;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 20*&lt;/b&gt;" vertex="1">
<mxGeometry height="40" width="150" as="geometry">
<mxRectangle height="40" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--26" parent="73OujeTaXOekwwMmsyg--24" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=center;fontSize=11;" value="9–18 years of age" vertex="1">
<mxGeometry height="40" width="360" x="150" as="geometry">
<mxRectangle height="40" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--27" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#ffffff;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="70" width="510" y="180" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--28" parent="73OujeTaXOekwwMmsyg--27" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#dae8fc;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;Pulse Oximetry&lt;/b&gt;" vertex="1">
<mxGeometry height="70" width="150" as="geometry">
<mxRectangle height="70" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--29" parent="73OujeTaXOekwwMmsyg--27" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=left;spacingLeft=10;fontSize=11;" value="Lowest SpO₂ &amp;lt;91% on room air*&lt;br&gt;&lt;b&gt;OR&lt;/b&gt; required inhaled FiO₂ &amp;gt;50% to keep saturations &amp;gt;90%&lt;br&gt;&lt;i&gt;* after 2 hours of routine management&lt;/i&gt;" vertex="1">
<mxGeometry height="70" width="360" x="150" as="geometry">
<mxRectangle height="70" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--30" parent="73OujeTaXOekwwMmsyg--14" style="shape=tableRow;horizontal=0;startSize=0;swimlaneHead=0;swimlaneBody=0;top=0;left=0;bottom=0;right=0;collapsible=0;dropTarget=0;fillColor=#ffffff;strokeColor=#6c8ebf;" value="" vertex="1">
<mxGeometry height="40" width="510" y="250" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--31" parent="73OujeTaXOekwwMmsyg--30" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#dae8fc;strokeColor=#6c8ebf;align=center;fontSize=11;" value="&lt;b&gt;Lung Exam&lt;/b&gt;" vertex="1">
<mxGeometry height="40" width="150" as="geometry">
<mxRectangle height="40" width="150" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--32" parent="73OujeTaXOekwwMmsyg--30" style="shape=partialRectangle;html=1;whiteSpace=wrap;connectable=0;overflow=hidden;fillColor=#ffffff;strokeColor=#6c8ebf;align=left;spacingLeft=10;fontSize=11;" value="Localizing findings or asymmetry on lung examination" vertex="1">
<mxGeometry height="40" width="360" x="150" as="geometry">
<mxRectangle height="40" width="360" as="alternateBounds" />
</mxGeometry>
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--33" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--11" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#b85450;" target="73OujeTaXOekwwMmsyg--35">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--34" edge="1" parent="1" source="73OujeTaXOekwwMmsyg--14" style="edgeStyle=orthogonalEdgeStyle;rounded=1;strokeWidth=2;strokeColor=#6c8ebf;" target="73OujeTaXOekwwMmsyg--35">
<mxGeometry relative="1" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--35" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;fontSize=14;fontColor=#1a1a1a;align=center;verticalAlign=middle;strokeWidth=2;" value="&lt;b&gt;→ OBTAIN CHEST X-RAY&lt;/b&gt;" vertex="1">
<mxGeometry height="50" width="350" x="290" y="1010" as="geometry" />
</mxCell>
<mxCell id="73OujeTaXOekwwMmsyg--36" parent="1" style="text;html=1;align=center;verticalAlign=middle;whiteSpace=wrap;fontSize=10;fontColor=#666666;" value="&lt;i&gt;* Respiratory rate thresholds apply after ≥ 2 hours of routine asthma exacerbation management&lt;/i&gt;" vertex="1">
<mxGeometry height="30" width="550" x="240" y="1075" as="geometry" />
</mxCell>
</root>
</mxGraphModel>
</diagram>
</mxfile>
Reference in a new issue View git blame Copy permalink