Comprehensive Care Improvement for Oncologic Fever and Neutropenia from a Pediatric Emergency Department.

ABSTRACT:

Introduction

Rapid time to antibiotics (TTA) for pediatric patients with fever and neutropenia in an emergency department decreases in-hospital mortality. Additionally, national guidelines recommend outpatient antibiotic management strategies for low-risk fever and neutropenia (LRFN). This study had two specific aims: (1) improve the percent of patients with suspected fever and neutropenia who receive antibiotics within 60 minutes of arrival from 55% to 90%, and (2) develop and operationalize a process for outpatient management of LRFN patients by October 2018.

Methods

Using Lean methodologies, we implemented Plan-Do-Check-Act cycles focused on guideline development, electronic medical record reminders, order-set development, and a LRFN pathway as root causes for improvement

SUBMITTER: Kuehnel NA 

PROVIDER: S-EPMC10990408 | biostudies-literature | 2021 Mar-Apr

REPOSITORIES: biostudies-literature