An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia
| Autor: | Deborah Kotrady, Beth L. Emerson, Antonio Riera, Kristen Clark, Lauren Edwards, Alby Jacob, Stephanie Prozora, Rebecca Ciaburri |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Neutropenia Time Factors Quality management Time to antibiotic Fever medicine.drug_class Population Antibiotics Psychological intervention Efficiency Organizational 03 medical and health sciences 0302 clinical medicine Pediatric emergency medicine Process analysis Humans Medicine 030212 general & internal medicine education Patient Care Team education.field_of_study business.industry 030503 health policy & services Health Policy medicine.disease Quality Improvement Anti-Bacterial Agents Emergency medicine Emergency Service Hospital 0305 other medical science business |
| Zdroj: | American Journal of Medical Quality. 34:158-164 |
| ISSN: | 1555-824X 1062-8606 |
| Popis: | The objective was to decrease the time to antibiotic administration for patients arriving in the pediatric emergency department with fever and neutropenia. A multidisciplinary team was assembled and engaged in process analysis through interviews and data review. These findings were used to develop key drivers, and Pareto charts were utilized to prioritize interventions. Interventions were tested and implemented using rapid Plan-Do-Study-Act cycles. Progress was monitored using process control charts. Interventions included leveraging a secure text-based messaging platform, creating a new antibiotic pathway, and educating staff and family. Between September 2016 and September 2017, the average time to antibiotics was decreased from 116 to 55 minutes in this population. This also was associated with a decrease in variation (individual moving range mean decreased from 43 minutes to 18 minutes). Careful process analysis, coupled with the work of a multidisciplinary team, produced significant improvements in efficiency of care for these vulnerable patients. |
| Databáze: | OpenAIRE |
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