000042889 001__ 42889
000042889 005__ 20240509124436.0
000042889 0247_ $$2doi$$a10.6083/bpxhc42889
000042889 037__ $$aETD
000042889 041__ $$aeng
000042889 245__ $$aTime to antibiotic administration for neutropenic fever in the emergency department
000042889 260__ $$bOregon Health and Science University
000042889 269__ $$a2024-05-07
000042889 336__ $$aFinal project
000042889 502__ $$bD.N.P.
000042889 502__ $$gAdult Gerontology Acute Care Nurse Practitioner
000042889 520__ $$aNeutropenic fever, a common complication in cancer patients, requires prompt antibiotic treatment to prevent mortality. Current guidelines recommend antibiotic administration within 60 minutes of triage completion. However, many emergency departments (EDs) struggle to meet recommended treatment timeframes. This study in an academic medical center's ED analyzed 88 neutropenic fever cases, revealing a median time to antibiotic administration of 146 minutes, with only 7.95% meeting the 60-minute guideline. Factors like door-to-doctor time, time to antibiotic order placement, and antibiotic preparation time were found to affect time to antibiotic administration. No correlations were found between time to antibiotic administration and long-term patient outcomes in this study. Future initiatives should focus on reducing time from triage completion to antibiotic order placement to optimize patient outcomes and improve care for neutropenic fever patients in the ED.
000042889 540__ $$fPublic Domain
000042889 542__ $$fPublic domain
000042889 650__ $$aFebrile Neutropenia$$040326
000042889 650__ $$aQuality Improvement$$039456
000042889 650__ $$aEmergency Service, Hospital$$018352
000042889 651__ $$aOregon--Portland$$041692
000042889 6531_ $$aneutropenic fever
000042889 6531_ $$aemergency department
000042889 6531_ $$aantibiotic administration
000042889 691__ $$aSchool of Nursing$$041370
000042889 692__ $$aDepartment of Emergency Medicine$$041411
000042889 7001_ $$aNerenberg, Bronson$$uOregon Health and Science University$$041354
000042889 7201_ $$aHaboush, Lily$$uOregon Health and Science University$$041354$$eCommittee chair$$7Personal
000042889 8564_ $$9a7f099fe-073c-4d73-92fe-cac61872a9e1$$s340960$$uhttps://digitalcollections.ohsu.edu/record/42889/files/Nerenberg.Bronson.2024.pdf
000042889 909CO $$ooai:digitalcollections.ohsu.edu:42889$$pstudent-work
000042889 980__ $$aTheses and Dissertations
000042889 981__ $$aPublished$$b2024-05-09