Includes data through 6/1/2020
Reduce Errors Relating to Ordering Chemotherapy
Goal: Decrease the number of potentially harmful chemotherapy errors to less than 15% of all chemotherapy related errors
Actions:
- Daily chemotherapy team meeting
- Two care providers review all chemotherapy medication orders
- Pharmacy review of all chemotherapy orders 48 hours prior to being given to patients
Next Steps:
- Change metric goal from percentage to an absolute number of errors
Includes data through 6/1/2020
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 up through 6/1/2021
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:
- Launch Patient Timer Initiative – timer to start at patient arrival for all team members to be aware of time remaining for administration
- Collaborate with Akron Children's Hospital Sepsis Initiative in the Emergency Department
Includes data up through 6/1/2021
Prompt antibiotic administration in observation unit 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 Observation unit 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:
- Launch Patient Timer Initiative – timer to start at patient arrival for all team members to be aware of time remaining for administration
- Collaborate with Akron Children's Hospital Sepsis Initiative in the Emergency Department
Includes data up through 6/1/2021
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:
- Launch Patient Timer Initiative – timer to start at patient arrival for all team members to be aware of time remaining for administration
- Collaborate with Akron Children's Hospital Sepsis Initiative in the Emergency Department
Administer vaccines to children and young adults following bone marrow/stem cell transplantation in a timely fashion
Goal: To have >95% 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.
