Implementing a Clinical Decision Support Tool to Reduce Hospital Length-of-Stay for Pediatric Cancer Patients with Low-Risk Fever and Neutropenia

Poster Number: P41
Presentation Time: 05:00 PM - 06:30 PM

Abstract Keywords: Clinical Decision Support, Clinical Guidelines, Pediatrics, Informatics Implementation, Patient Safety
Primary Track: Applications
Programmatic Theme: Clinical Informatics

Pediatric cancer patients with fever and neutropenia (F&N) are traditionally hospitalized until neutropenia and fever have resolved, regardless of their individualized risk for sepsis, resulting in excessive lengths of stay (LOS) and intravenous antibiotic exposure for low risk patients. We describe the design, implementation and evaluation of a novel clinical decision support tool within the Electronic Health Record to identify low risk patients eligible for early discharge. Early results suggest feasibility, user acceptability, and safety of this approach, with ongoing evaluation needed to confirm the tools' effectiveness.

Speaker(s):
Claire Stokes, MD, MPH
Children's Healthcare of Atlanta and Emory University

Author(s):
Claire Stokes, MD, MPH - Children's Healthcare of Atlanta and Emory University; Wayne Liang, MD MS FAMIA - Children's Healthcare of Atlanta & Emory University; Edwin Ray, RN - Children's Healthcare of Atlanta; Swaminathan Kandaswamy, PhD - Emory University School of Medicine; Evan Orenstein, MD - Childrenís Healthcare of Atlanta; Julia Yarahuan, MD - Children's Healthcare of Atlanta/Emory University;