Abstract
Patients with febrile neutropenia (FN) often are subject to antibiotic and diagnostic test overuse. We sought to improve appropriate use of antimicrobials and diagnostic tests for patients with FN. We used a blended quality approach with Lean Six Sigma tools and iterative improvement of a clinical decision aid to guide providers through empirical antimicrobial selection and diagnostic evaluation of patients with FN during a yearlong period. We evaluated the incidence of nonadherence to best practice before, during, and after rollout of a clinical decision aid in conjunction with an educational initiative. At baseline, 71% of patients with FN had at least one critical deviation from best practice. During the project, the percentage decreased to 27.3%; 4 months after the project was completed, the percentage was 33.3% (P =.04). A clinical decision aid can improve adherence to best practices for the empirical management of FN.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E843-E848 |
| Journal | Journal of oncology practice |
| Volume | 15 |
| Issue number | 9 |
| DOIs | |
| State | Published - Jan 1 2019 |
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ASJC Scopus subject areas
- Oncology
- Oncology(nursing)
- Health Policy
Cite this
Standardizing febrile neutropenia management : Antimicrobial stewardship in the hematologic malignancy population. / O'Horo, John C.; Marcelin, Jasmine R.; Saleh, Omar M.Abu; Barwise, Amelia K.; Odean, Patricia M.; Rivera, Christina G.; Tande, Aaron J.; Wilson, John W.; Osmon, Douglas R.; Tosh, Pritish K.
In: Journal of oncology practice, Vol. 15, No. 9, 01.01.2019, p. E843-E848.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Standardizing febrile neutropenia management
T2 - Antimicrobial stewardship in the hematologic malignancy population
AU - O'Horo, John C.
AU - Marcelin, Jasmine R.
AU - Saleh, Omar M.Abu
AU - Barwise, Amelia K.
AU - Odean, Patricia M.
AU - Rivera, Christina G.
AU - Tande, Aaron J.
AU - Wilson, John W.
AU - Osmon, Douglas R.
AU - Tosh, Pritish K.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Patients with febrile neutropenia (FN) often are subject to antibiotic and diagnostic test overuse. We sought to improve appropriate use of antimicrobials and diagnostic tests for patients with FN. We used a blended quality approach with Lean Six Sigma tools and iterative improvement of a clinical decision aid to guide providers through empirical antimicrobial selection and diagnostic evaluation of patients with FN during a yearlong period. We evaluated the incidence of nonadherence to best practice before, during, and after rollout of a clinical decision aid in conjunction with an educational initiative. At baseline, 71% of patients with FN had at least one critical deviation from best practice. During the project, the percentage decreased to 27.3%; 4 months after the project was completed, the percentage was 33.3% (P =.04). A clinical decision aid can improve adherence to best practices for the empirical management of FN.
AB - Patients with febrile neutropenia (FN) often are subject to antibiotic and diagnostic test overuse. We sought to improve appropriate use of antimicrobials and diagnostic tests for patients with FN. We used a blended quality approach with Lean Six Sigma tools and iterative improvement of a clinical decision aid to guide providers through empirical antimicrobial selection and diagnostic evaluation of patients with FN during a yearlong period. We evaluated the incidence of nonadherence to best practice before, during, and after rollout of a clinical decision aid in conjunction with an educational initiative. At baseline, 71% of patients with FN had at least one critical deviation from best practice. During the project, the percentage decreased to 27.3%; 4 months after the project was completed, the percentage was 33.3% (P =.04). A clinical decision aid can improve adherence to best practices for the empirical management of FN.
UR - http://www.scopus.com/inward/record.url?scp=85072133021&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072133021&partnerID=8YFLogxK
U2 - 10.1200/JOP.18.00775
DO - 10.1200/JOP.18.00775
M3 - Article
C2 - 31322989
AN - SCOPUS:85072133021
VL - 15
SP - E843-E848
JO - Journal of Oncology Practice
JF - Journal of Oncology Practice
SN - 1554-7477
IS - 9
ER -