Improving-the-Door-to-Needle-time-for-Febrile-Neut.ppt

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1、 Improving the Door to Needle time for Febrile Neutropenia Partnership working between Heart of England NHS Foundation Trust (HoEFT)and Pan Birmingham Cancer Network(PBCN)Project team:Angela Allsop Clinical Educator HoEFTLynda Baker Haematology CNS HoEFTRebecca Pitt Oncology CNS HoEFTMarjorie Small

2、Haematology Oncology Matron HoEFTMarilyn Maynard Service Improvement Facilitator PBCNNational Driver National Chemotherapy Advisory Group Report August 2009 bring about a step change in the quality and safety of chemotherapy services .NCAG recommendationEnsure delivery of antibiotics occurs within o

3、ne hour(i.e.“door to needle”times for intravenous antibiotics or“door to swallow times for intravenous antibiotics)for patients presenting with neutropenic sepsis.Local DriverMarch 2009 Network wide audit Poor regional complianceDefinition and rationaleFebrile neutropenia is defined as a patient wit

4、h a neutrophil count 38.30C on one occasion,or greater than 380C on two occasions more than 1 hour apart.Patients with febrile neutropenia require urgent assessment commencement of intravenous antibiotics within 1 hour of presentation.Delay in administering antibiotics endangers life and is not acce

5、ptable.Taken from the Heart of England Management of Febrile Neutropenia GuidelineWhere we startedReviewed current pathwayNo defined care pathwayPatients seen in A+E but not prioritised Patients at risk of deathCompromising patient safetyQUALITYService ImprovementBaseline measurementsData collection

6、 and review Key stakeholder engagementProcess Mapping Pathway analysisAction planningLean toolsProblem solving and InnovationCommunication and Co production Ownership and objectivityLeadership QuestionsWhat do you want to improve about your service?What elements of this work can you apply to your area?What is your first step?Partnership working between Heart of England NHS Foundation Trust and Pan Birmingham Cancer NetworkContactlynda.or marilyn.