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Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic.

Publication ,  Journal Article
Frith, J; Allen, DH; Minor, K; Reynolds, SS
Published in: Clinical journal of oncology nursing
January 2023

Patients with cancer are at risk for oncologic emergencies, including febrile neutropenia (FN). Timely treatment of FN can prevent complications. Providing this care in the outpatient setting has been shown to be safe and effective.This project implemented and evaluated a new process using an outpatient acute care clinic (ACC) to manage FN in patients with hematologic cancer. The aims were to reduce the time from fever identification to antibiotic administration, decrease emergency department (ED) visit rates, and evaluate patient satisfaction.Using a pre-/postimplementation design, an interprofessional team was educated about a new process of caring for patients with hematologic cancer and FN at an outpatient ACC using a comprehensive algorithm.31 patients participated in the project (15 pre- and 16 postimplementation). Time to antibiotic administration decreased from 144.88 minutes to 63.69 minutes. Participant visits to the ED decreased by 2.33 times per month on average. Overall, patients were satisfied with the ACC. These findings support using a dedicated outpatient ACC for patients with FN receiving hematology care.

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Published In

Clinical journal of oncology nursing

DOI

EISSN

1538-067X

ISSN

1092-1095

Publication Date

January 2023

Volume

27

Issue

1

Start / End Page

33 / 39

Related Subject Headings

  • Quality Improvement
  • Outpatients
  • Humans
  • Hematologic Neoplasms
  • Febrile Neutropenia
  • Algorithms
  • 4205 Nursing
  • 3211 Oncology and carcinogenesis
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
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Frith, J., Allen, D. H., Minor, K., & Reynolds, S. S. (2023). Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic. Clinical Journal of Oncology Nursing, 27(1), 33–39. https://doi.org/10.1188/23.cjon.33-39
Frith, Jennifer, Deborah Hutch Allen, Kerry Minor, and Staci S. Reynolds. “Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic.Clinical Journal of Oncology Nursing 27, no. 1 (January 2023): 33–39. https://doi.org/10.1188/23.cjon.33-39.
Frith J, Allen DH, Minor K, Reynolds SS. Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic. Clinical journal of oncology nursing. 2023 Jan;27(1):33–9.
Frith, Jennifer, et al. “Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic.Clinical Journal of Oncology Nursing, vol. 27, no. 1, Jan. 2023, pp. 33–39. Epmc, doi:10.1188/23.cjon.33-39.
Frith J, Allen DH, Minor K, Reynolds SS. Febrile Neutropenia: Improving Care Through an Oncology Acute Care Clinic. Clinical journal of oncology nursing. 2023 Jan;27(1):33–39.

Published In

Clinical journal of oncology nursing

DOI

EISSN

1538-067X

ISSN

1092-1095

Publication Date

January 2023

Volume

27

Issue

1

Start / End Page

33 / 39

Related Subject Headings

  • Quality Improvement
  • Outpatients
  • Humans
  • Hematologic Neoplasms
  • Febrile Neutropenia
  • Algorithms
  • 4205 Nursing
  • 3211 Oncology and carcinogenesis
  • 1110 Nursing