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10.1136/bmjquality.u212406.w4933 http://scihub22266oqcxt.onion/10.1136/bmjquality.u212406.w4933 C5348586!5348586!28321299     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28321299&cmd=llinks): Failed to open stream: HTTP request failed! 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Successful emergency department interventions that reduce time to antibiotics in febrile pediatric cancer patients |pdf=|usr=}}{{28321299}} gab.com Text Successful emergency department interventions that reduce time to antibiotics in febrile pediatric cancer patients JO: BMJ Qual Improv Rep http://www.kidney.de/pget.php?&tw=1&pmid=28321299 #FOAvip Children with cancer and fever are at high risk for sepsis related death. Rapid antibiotic delivery (< 60 minutes) has been shown to reduce mortality.We compared patient outcomes and describe interventions from three separate quality improvement (QI) projects conducted in three United States (US) tertiary care pediatric emergency departments (EDs) with the shared aim to reduce time to antibiotic (TTA) to < 60 minutes in febrile pediatric oncology patients (Temperature > 38.0 C). A secondary objective was to identify interventions amenable to translation to other centers.We conducted a post project analysis of prospectively collected observational data from children < 18 years visiting these EDs during independently conducted QI projects. Comparisons were made pre to post intervention periods within each institution.All interventions were derived independently using QI methods by each institution. Successful as well as unsuccessful interventions were described and common interventions adopted by all sites identified.A total of 1032 ED patient visits were identified from the three projects. Improvement in median TTA delivery (min) pre to post intervention(s) was 118.5?57.0 at site 1, 163.0?97.5 at site 2, and 188.0?111.5 at site 3 (p<.001 all sites). The eight common interventions were 1) Triage application of topical anesthetic 2) Rapid room placement & triage 3) Resuscitation room placement of ill appearing children 4) Close proximity to central line equipment 5) Antibiotic administration before laboratory analyses 6) Consensus clinical practice guideline establishment 7) Family pre-ED education for fever and 8) Staff project updates.This core set of eight low cost, high yield QI interventions were developed independently by the three ED's which led to substantial reduction in time to antibiotic delivery in children with cancer presenting with fever. These interventions may inform future QI initiatives in other settings caring for febrile pediatric oncology patients. Twit Text FOAVip Successful emergency department interventions that reduce time to antibiotics in febrile pediatric cancer patients ????BMJ Qual Improv Rep http://www.kidney.de/pget.php?&tw=1&pmid=28321299 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28321299 #FOAvip English Wikipedia <ref>{{Cite pmid|28321299}}</ref> Successful emergency department interventions that reduce time to antibiotics in febrile pediatric cancer patients #MMPMID28321299 Spencer S; Nypaver M; Hebert K; Benner C; Stanley R; Cohen D; Rogers A; Goldstick J; Mahajan P BMJ Qual Improv Rep 2017[]; 6 (1): � PMID28321299show ga Children with cancer and fever are at high risk for sepsis related death. Rapid antibiotic delivery (< 60 minutes) has been shown to reduce mortality.We compared patient outcomes and describe interventions from three separate quality improvement (QI) projects conducted in three United States (US) tertiary care pediatric emergency departments (EDs) with the shared aim to reduce time to antibiotic (TTA) to < 60 minutes in febrile pediatric oncology patients (Temperature > 38.0 C). A secondary objective was to identify interventions amenable to translation to other centers.We conducted a post project analysis of prospectively collected observational data from children < 18 years visiting these EDs during independently conducted QI projects. Comparisons were made pre to post intervention periods within each institution.All interventions were derived independently using QI methods by each institution. Successful as well as unsuccessful interventions were described and common interventions adopted by all sites identified.A total of 1032 ED patient visits were identified from the three projects. Improvement in median TTA delivery (min) pre to post intervention(s) was 118.5?57.0 at site 1, 163.0?97.5 at site 2, and 188.0?111.5 at site 3 (p<.001 all sites). The eight common interventions were 1) Triage application of topical anesthetic 2) Rapid room placement & triage 3) Resuscitation room placement of ill appearing children 4) Close proximity to central line equipment 5) Antibiotic administration before laboratory analyses 6) Consensus clinical practice guideline establishment 7) Family pre-ED education for fever and 8) Staff project updates.This core set of eight low cost, high yield QI interventions were developed independently by the three ED's which led to substantial reduction in time to antibiotic delivery in children with cancer presenting with fever. These interventions may inform future QI initiatives in other settings caring for febrile pediatric oncology patients. �Successful emergency department interventions that reduce time to anti(epmc).pdf DeepDyve Pubget Overpricing