A novel intervention: Implementation of a neutropenic infection-prevention bundle and audit tool in an oncology unit

Ellen Evashwick1, Michael A Ben-Aderet1, Mathew Jp Almario1

  • 1Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, CA.

Insights

Infection control compliance in neutropenic patients improved using a bundled audit and feedback tool. This strategy enhances patient safety by reducing infection risks during chemotherapy.

Area of Science:

  • Oncology
  • Infectious Diseases
  • Healthcare Quality Improvement

Background:

  • Chemotherapy-induced neutropenia poses significant risks for infectious complications, leading to morbidity and mortality.
  • Standard infection control practices are recommended for neutropenic patients, but implementation and monitoring remain challenging.
  • Effective strategies are needed to ensure adherence to infection control measures in this vulnerable population.

Purpose of the Study:

  • To evaluate the impact of a bundled neutropenic precaution (NP) audit and feedback tool on infection control compliance.
  • To identify methods for improving the implementation and monitoring of infection control practices in neutropenic patients.
  • To reduce infectious complications in patients undergoing chemotherapy.

Main Methods:

  • Development and implementation of a bundled neutropenic precaution (NP) audit and feedback tool.
  • Systematic auditing of infection control practices for neutropenic patients.
  • Regular feedback provided to healthcare staff regarding compliance rates and areas for improvement.

Main Results:

  • Significant increase in compliance with infection control measures following the implementation of the NP audit and feedback tool.
  • Demonstrated effectiveness of the bundled approach in enhancing adherence to neutropenic precautions.
  • Improved monitoring and feedback mechanisms contributed to better infection control outcomes.

Conclusions:

  • A bundled neutropenic precaution (NP) audit and feedback tool is an effective strategy for increasing infection control compliance.
  • This approach can enhance patient safety and potentially reduce infectious complications in neutropenic patients.
  • The tool provides a practical framework for implementing and monitoring infection control practices in clinical settings.

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