Providing Evidence-Based Practice Guidelines and Order Sets to Improve Care of Hospitalized Patients Newly Diagnosed With Leukemia

2.50
Hdl Handle:
http://hdl.handle.net/10755/165582
Category:
Abstract
Type:
Presentation
Title:
Providing Evidence-Based Practice Guidelines and Order Sets to Improve Care of Hospitalized Patients Newly Diagnosed With Leukemia
Author(s):
White, Carol
Author Details:
Carol White, Loyola University Health System, Maywood, Illinois, USA
Abstract:
Although acute leukemias account for less than 4% of all cancers, newly diagnosed patients are hospitalized for initial treatment (induction) as well as episodes of neutropenic fever. The stay may be as brief as a few days or as extensive as four to six weeks. As a medical center involved in education of medical students, interns, residents, and fellows, it is important to assist in this training while assuring consistent quality care to all patients. Since each month a new group of physicians rotate through the hematology service, a committee was formed to standardize the care. The committee convened over six years ago and began the process of developing standardized admission and chemotherapy order sets and clinical practice guidelines. Over time, these orders and guidelines were adjusted to reflect changes in clinical practice. In the last year, our Center for Clinical Effectiveness (CCE) reviewed each service line's diagnosis related groups (DRGs) in an effort to reduce variation in clinical practice and to improve care of patients. Within the cancer service line, a multidisciplinary committee was formed to reduce variation in clinical practice to improve care of patients newly diagnosed with leukemia (DRG 473). Areas to change and improve were evaluated through evidence based clinical practices. Use of antibiotics, anthracyclines, tests (labs and MUGA scans), growth factors, and discharge criteria were evaluated and changed via order sets and guidelines already in place. A "patient and family friendly" clinical pathway was created to give an overview of what occurs during the hospitalization. The revised admission orders and leukemic guidelines were placed on the electronic medical record (EMR). Compliance with practice changes is monitored monthly by the utilization review (UR) nurse, inpatient chemotherapy pharmacist, and advanced practice nurse. Quarterly reports sent to CCE have reflected an increase in compliance and will be included in the poster presentation. The project has brought together financial, administrative, medical, nursing, and pharmacy representatives who have learned from one another. Focus on improving care of the patient while cognizant of the cost issues involved in today's healthcare environment resulted in reduction in resource utilization with improved quality of care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleProviding Evidence-Based Practice Guidelines and Order Sets to Improve Care of Hospitalized Patients Newly Diagnosed With Leukemiaen_GB
dc.contributor.authorWhite, Carolen_US
dc.author.detailsCarol White, Loyola University Health System, Maywood, Illinois, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165582-
dc.description.abstractAlthough acute leukemias account for less than 4% of all cancers, newly diagnosed patients are hospitalized for initial treatment (induction) as well as episodes of neutropenic fever. The stay may be as brief as a few days or as extensive as four to six weeks. As a medical center involved in education of medical students, interns, residents, and fellows, it is important to assist in this training while assuring consistent quality care to all patients. Since each month a new group of physicians rotate through the hematology service, a committee was formed to standardize the care. The committee convened over six years ago and began the process of developing standardized admission and chemotherapy order sets and clinical practice guidelines. Over time, these orders and guidelines were adjusted to reflect changes in clinical practice. In the last year, our Center for Clinical Effectiveness (CCE) reviewed each service line's diagnosis related groups (DRGs) in an effort to reduce variation in clinical practice and to improve care of patients. Within the cancer service line, a multidisciplinary committee was formed to reduce variation in clinical practice to improve care of patients newly diagnosed with leukemia (DRG 473). Areas to change and improve were evaluated through evidence based clinical practices. Use of antibiotics, anthracyclines, tests (labs and MUGA scans), growth factors, and discharge criteria were evaluated and changed via order sets and guidelines already in place. A "patient and family friendly" clinical pathway was created to give an overview of what occurs during the hospitalization. The revised admission orders and leukemic guidelines were placed on the electronic medical record (EMR). Compliance with practice changes is monitored monthly by the utilization review (UR) nurse, inpatient chemotherapy pharmacist, and advanced practice nurse. Quarterly reports sent to CCE have reflected an increase in compliance and will be included in the poster presentation. The project has brought together financial, administrative, medical, nursing, and pharmacy representatives who have learned from one another. Focus on improving care of the patient while cognizant of the cost issues involved in today's healthcare environment resulted in reduction in resource utilization with improved quality of care.en_GB
dc.date.available2011-10-27T12:21:16Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:16Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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