Implementation of an evidence-based order set to impact initial antibiotic time intervals in adult febrile neutropenia

Introduction

In this article we learn about complications that occur in cancer patients who undergo chemotherapy such as febrile neutropenia and how the use of standardized order sets in the EHR can help this group of "patients ensure they receive prompt treatment for infection". Febrile neutropenia is defined as an oncological emergency where the patient presents with fever accompanied by an absolute neutrophil level of under 500/mcl. The purpose is to avoid delays in the initiation of antibiotic treatment, delays in transferring patient to the inpatient unit, and delays in the administration of such medications.

Methods/Materials

• Evidence based guidelines were researched and applied. They included appropriate use of antibiotics, laboratory tests and microbiology tests.
• Development of standardized order sets that "use appropriate antibiotics" including adjustment guidelines.

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