Wednesday, June 20, 2012
Volpe et al. (doi: 10.1542/peds.2012-0153) present an important project to improve the timeliness of antibiotic delivery for febrile neutropenic patients n the emergency department setting. I think there is an important "take home" point even for those who practice outside of the emergency department or who are unlikely to care for severely immunocompromised children. First, Volpe et al. spent a significant amount of time and energy planning their intervention. Without such work, attempts to improve quality are likely to fail. Their report does a great job describing process maps, and the resulting key driver diagram (figure 2) beautifully illustrates their goal, the challenges, and their approaches to improvement. In my experience, this up-front work is skipped over by inexperienced individuals engaged in quality improvement, usually to the detriment of the project.
Posted by Dr. Lewis R. First at 12:01 AM