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Related Concept Videos

One-Compartment Model: IV Infusion01:09

One-Compartment Model: IV Infusion

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Intravenous (IV) infusion is often utilized when continuous and controlled drug delivery is necessary, such as during surgery or in the treatment of chronic diseases. This method offers numerous advantages, including immediate drug action, precise control over dosage, and bypassing the first-pass metabolism.
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Drug Accumulation During Multiple Dosing: Intermittent IV Infusions01:24

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Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
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The development of extended-release formulations has facilitated the transition from intravenous to oral medication, offering a more convenient and patient-friendly approach to drug administration. This transition, however, requires careful management to ensure that therapeutic drug levels are maintained, preserving efficacy and avoiding adverse effects. Understanding pharmacokinetic principles and dosage calculations is critical during this process.Pharmacokinetics of the...
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A two-compartment model is a vital tool in pharmacokinetics, providing an essential understanding of drug behavior, especially for those administered via zero-order intravenous infusion. This model outlines two compartments: the central compartment, where elimination occurs, and the peripheral compartment.
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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Delivering Patient Value by Using Process Improvement Tools to Decrease Patient Wait Time in an Outpatient Oncology

Lauren N Gjolaj1, Gloria G Campos2, Angela I Olier-Pino1

  • 1University of Miami Health System; and Sylvester Comprehensive Cancer Center, Miami, FL.

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Streamlining oncology patient flow reduced wait times by 17 minutes. This process optimization in infusion units improved patient care efficiency and value-added time.

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Area of Science:

  • Oncology Nursing
  • Healthcare Management
  • Process Improvement

Background:

  • High-volume academic outpatient oncology infusion units face challenges in optimizing patient flow.
  • Inefficient workflows can lead to increased patient wait times and reduced value-added care.

Purpose of the Study:

  • To streamline the workflow from patient arrival to premedication in an oncology infusion unit.
  • To decrease patient wait times and increase value through process optimization.
  • To identify and eliminate waste in patient flow within an academic cancer center.

Main Methods:

  • Utilized the Plan-Do-Check-Act (PDCA) method and Lean Methodology for process improvement.
  • Focused on a defined subset of patient experiences in an outpatient oncology infusion unit.
  • Collected and tracked patient wait times using value stream and control charts over a 5-month period.

Main Results:

  • Mean patient arrival to premedication start time decreased by 17 minutes (from 77 to 60 minutes).
  • Value stream analysis showed a reduction of two patient touch points.
  • Value-added time increased by 17% postimplementation.

Conclusions:

  • The PDCA tool effectively identified opportunities to reduce waste and streamline patient care.
  • Systematic process improvements led to significant reductions in patient wait times.
  • The study demonstrated enhanced value-added time during the patient treatment cycle.