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We previously described the development of an ITP pathway guiding management based on bleeding symptoms. Over an 8\u2010year period, integration of this iterative ITP pathway into management of newly diagnosed ITP increased observation rates in children with no or mild bleeding symptoms and improved consistency of laboratory evaluation and treatment strategies without increasing adverse outcomes. This quality improvement initiative has been sustainable, acceptable to providers, and increased adherence to guidelines.<\/jats:p>","DOI":"10.1002\/pbc.30074","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T06:31:51Z","timestamp":1671085911000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Utilization of an ITP quality improvement pathway improves adherence to management guidelines"],"prefix":"10.1002","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-6939","authenticated-orcid":false,"given":"Emily M.","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Pediatrics Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Hillier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hematology\u2010Oncology Hassenfeld Children's Hospital at NYU Langone Health, NYU Grossman School of Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Nolan","sequence":"additional","affiliation":[{"name":"Program for Patient Safety and Quality Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Meleedy\u2010Rey","sequence":"additional","affiliation":[{"name":"Program for Patient Safety and Quality Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylah","family":"Buissereth","sequence":"additional","affiliation":[{"name":"Pediatric Hematology\/Oncology, Dana\u2010Farber\/Boston Children's Cancer and Blood Disorders Center Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7302-0449","authenticated-orcid":false,"given":"Rachael F.","family":"Grace","sequence":"additional","affiliation":[{"name":"Pediatric Hematology\/Oncology, Dana\u2010Farber\/Boston Children's Cancer and Blood Disorders Center Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2007.06635.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.23299"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.12813"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2008-03-138487"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2017.1.400"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2012-12-466375"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2018-02-830844"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2010-08-302984"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000268855"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2014-09-599399"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2019000966"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.25961"},{"issue":"5","key":"e_1_2_7_14_1","first-page":"396","article-title":"Management strategies for newly diagnosed immune thrombocytopenia in Italian AIEOP centres: do we overtreat? 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