Includes data through November, 2022
Reduce Central Line-Associated Blood Stream Infections (CLA-BSI)
Goal: To have a Hematology/Oncology inpatient CLA-BSI rate (number of blood infections per 1000 days with central lines) below the national rate
Actions:
- Maintain high level of reliability in carrying out standard maintenance central line care
- Maintain good oral hygiene
- Maintain clean environment/patient rooms and bathrooms
Next Steps:
- Participate in testing new intervention in coming year through Solutions for Patient Safety
Includes data through April 2023
Prompt antibiotic administration in OP clinic to patients with cancer or sickle cell disease who have fever
Goal: Patients with fever and either cancer or sickle cell disease will have antibiotics given within 1 hour upon arrival >95% of the time in the Hematology/Oncology Outpatient Clinic at the Akron and Beeghly Campuses
Actions:
- A system in electronic medical record to alert the medical team
- An easy way to enter orders rapidly
- Having antibiotics available in these locations at all times
Next Steps:
- Conduct focus group with hem/onc staff to characterize successes
Includes data through April, 2023
Prompt antibiotic administration in ER to patients with cancer or sickle cell disease who have fever
Goal: Patients with fever and either cancer or sickle cell disease will have antibiotics given within 1 hour upon arrival >80% of the time in the Akron Children’s Hospital Emergency Departments
Actions:
- A system in electronic medical record to alert the medical team
- An easy way to enter orders rapidly
- Having antibiotics available in these locations at all times
Next Steps:
- Re-evaluate use of patient timer initiative in the ER
- Education with ER staff regarding best practices for port access
Enroll Eligible Patients on Low-Risk Fever and Neutropenia Pathway
Goal: Decrease unnecessary admissions for fever and neutropenia thereby decreasing the admission burden on patients and decreasing antibiotic exposure
Action items:
- Protocol in place to determine which patients are eligible for pathway
- Dot phrase used to ensure that patients and families have appropriate discharge instructions and follow up
Next steps:
- Perform cost savings analysis
Includes data through 2022
Increase the number of Oncology patients receiving the influenza vaccine
Goal: To have >90% of patients who are actively undergoing therapy for cancer receive their annual influenza vaccine
Actions:
- Have vaccine readily available in Hematology/Oncology clinic and inpatient services
- Utilize automated report to alert staff and providers when patients are due for a vaccine
Next Steps:
- Continue to promote the benefits of receiving the annual influenza vaccine in individuals at risk of more severe disease.
