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
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
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
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
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.