{"title":"提高儿科肿瘤发热患者抗生素给药时间。","authors":"Christina M Cotton","doi":"10.1891/JDNP-2025-0004","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Timely administration of antibiotics in pediatric oncology patients undergoing chemotherapy is critical, particularly for those presenting with fever and a central line, due to their increased risk of severe infections. <b>Objective:</b> This quality improvement project aimed to reduce the time from patient presentation to antibiotic administration in a pediatric oncology center. <b>Methods:</b> Current practices were evaluated through retrospective data analysis, identifying delays and inefficiencies in the workflow. Interventions included staff education, streamlined communication protocols, and implementation of a standardized clinical pathway. Findings: Initial results indicate a significant reduction in antibiotic administration times, improving patient outcomes and enhancing adherence to national guidelines. <b>Conclusions:</b> This project highlighted the importance of process optimization and interdisciplinary collaboration in delivering timely, evidence-based care to high-risk pediatric populations. Future steps involve sustaining the improvements and expanding the model.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.2000,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving Time to Antibiotic Administration in Pediatric Oncology Patients With Fever.\",\"authors\":\"Christina M Cotton\",\"doi\":\"10.1891/JDNP-2025-0004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background:</b> Timely administration of antibiotics in pediatric oncology patients undergoing chemotherapy is critical, particularly for those presenting with fever and a central line, due to their increased risk of severe infections. <b>Objective:</b> This quality improvement project aimed to reduce the time from patient presentation to antibiotic administration in a pediatric oncology center. <b>Methods:</b> Current practices were evaluated through retrospective data analysis, identifying delays and inefficiencies in the workflow. Interventions included staff education, streamlined communication protocols, and implementation of a standardized clinical pathway. Findings: Initial results indicate a significant reduction in antibiotic administration times, improving patient outcomes and enhancing adherence to national guidelines. <b>Conclusions:</b> This project highlighted the importance of process optimization and interdisciplinary collaboration in delivering timely, evidence-based care to high-risk pediatric populations. Future steps involve sustaining the improvements and expanding the model.</p>\",\"PeriodicalId\":40310,\"journal\":{\"name\":\"Journal of Doctoral Nursing Practice\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2025-06-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Doctoral Nursing Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1891/JDNP-2025-0004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Doctoral Nursing Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/JDNP-2025-0004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Improving Time to Antibiotic Administration in Pediatric Oncology Patients With Fever.
Background: Timely administration of antibiotics in pediatric oncology patients undergoing chemotherapy is critical, particularly for those presenting with fever and a central line, due to their increased risk of severe infections. Objective: This quality improvement project aimed to reduce the time from patient presentation to antibiotic administration in a pediatric oncology center. Methods: Current practices were evaluated through retrospective data analysis, identifying delays and inefficiencies in the workflow. Interventions included staff education, streamlined communication protocols, and implementation of a standardized clinical pathway. Findings: Initial results indicate a significant reduction in antibiotic administration times, improving patient outcomes and enhancing adherence to national guidelines. Conclusions: This project highlighted the importance of process optimization and interdisciplinary collaboration in delivering timely, evidence-based care to high-risk pediatric populations. Future steps involve sustaining the improvements and expanding the model.