TY  - GEN
N2  - Neutropenic fever, a common complication in cancer patients, requires prompt antibiotic treatment to prevent mortality. Current guidelines recommend antibiotic administration within 60 minutes of triage completion. However, many emergency departments (EDs) struggle to meet recommended treatment timeframes. This study in an academic medical center's ED analyzed 88 neutropenic fever cases, revealing a median time to antibiotic administration of 146 minutes, with only 7.95% meeting the 60-minute guideline. Factors like door-to-doctor time, time to antibiotic order placement, and antibiotic preparation time were found to affect time to antibiotic administration. No correlations were found between time to antibiotic administration and long-term patient outcomes in this study. Future initiatives should focus on reducing time from triage completion to antibiotic order placement to optimize patient outcomes and improve care for neutropenic fever patients in the ED.
DO  - 10.6083/bpxhc42889
DO  - doi
AB  - Neutropenic fever, a common complication in cancer patients, requires prompt antibiotic treatment to prevent mortality. Current guidelines recommend antibiotic administration within 60 minutes of triage completion. However, many emergency departments (EDs) struggle to meet recommended treatment timeframes. This study in an academic medical center's ED analyzed 88 neutropenic fever cases, revealing a median time to antibiotic administration of 146 minutes, with only 7.95% meeting the 60-minute guideline. Factors like door-to-doctor time, time to antibiotic order placement, and antibiotic preparation time were found to affect time to antibiotic administration. No correlations were found between time to antibiotic administration and long-term patient outcomes in this study. Future initiatives should focus on reducing time from triage completion to antibiotic order placement to optimize patient outcomes and improve care for neutropenic fever patients in the ED.
AD  - Oregon Health and Science University
T1  - Time to antibiotic administration for neutropenic fever in the emergency department
ED  - Haboush, Lily
ED  - Committee chair
DA  - 2024-05-07
AU  - Nerenberg, Bronson
L1  - https://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
PB  - Oregon Health and Science University
LA  - eng
PY  - 2024-05-07
ID  - 42889
L4  - https://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
KW  - Febrile Neutropenia
KW  - Quality Improvement
KW  - Emergency Service, Hospital
KW  - neutropenic fever
KW  - emergency department
KW  - antibiotic administration
TI  - Time to antibiotic administration for neutropenic fever in the emergency department
Y1  - 2024-05-07
L2  - https://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
LK  - https://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
UR  - https://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
ER  -