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• W2792375347 abstract "Topic Significance & Study Purpose/Background/Rationale: According to the “Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock” (2013), it is recommended that the administration of effective intravenous antimicrobials within the first hour of recognition of septic shock and severe sepsis without septic shock should be the goal of therapy. The data from January, 2015, through September, 2016, showed that 27 transplant patients experienced new onset fever during their SCT admission. Out of those 27 patients, only 12 had antibiotics initiated within 60 minutes of the newly onset fever (44%), and 15 had antibiotics initiated in greater than 60 minutes (56%), with an average time of 71 minutes. In order to improve patient care and impact outcomes, a standard process needed to be developed and implemented to meet the recommended goal of antibiotic administration within 60 minutes of fever. Methods, Intervention, & Analysis: The proposed practice change was the addition of a PRN antibiotic order to the SCT supportive care order set. The conditions of the order included fever definition, blood cultures to be obtained prior to administration, and provider notification. The bedside RN was then responsible for calling pharmacy when conditions were met and the dose was needed. Along with this practice change, an educational approach was directed to all healthcare professionals responsible for the care of these patients. Findings & Interpretation: After implementation of the PRN antibiotic order, data was collected from October, 2016, through September, 2017, showing that 25 patients experienced new onset fever during their SCT admission. Out of those 25 patients, 21 had antibiotics initiated within 60 minutes of the newly onset fever (84%), and 4 had antibiotics initiated in greater than 60 minutes (16%), with an average time of 46 minutes. Discussion & Implications: The addition of the PRN antibiotic order to the SCT supportive care order set, along with detailed education for healthcare professionals caring for these patients, greatly improved the time of antibiotic administration after fever to less than 60 minutes." @default.
• W2792375347 created "2018-03-29" @default.
• W2792375347 creator A5053840464 @default.
• W2792375347 date "2018-03-01" @default.
• W2792375347 modified "2023-09-27" @default.
• W2792375347 title "Time to Antibiotics: An EBP Project to Improve the Time of Antibiotic Administration after a Neutropenic Patient Develops a New Onset Fever" @default.
• W2792375347 doi "https://doi.org/10.1016/j.bbmt.2017.12.743" @default.
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