Cargando…

Reinventing the Clinical Audit in a Pediatric Oncology Network

Providing equal access to pediatric cancer patients regardless of their geographic location is a major goal of the Affiliate Program at St. Jude Children’s Research Hospital (St. Jude). Thirty-five percent of new cancer patients enrolled on St. Jude clinical trials reside in the communities of 1 of...

Descripción completa

Detalles Bibliográficos
Autores principales: Russo, Carolyn, Morgan, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115487/
https://www.ncbi.nlm.nih.gov/pubmed/36730655
http://dx.doi.org/10.1097/MPH.0000000000002591
_version_ 1785028224332333056
author Russo, Carolyn
Morgan, Jennifer
author_facet Russo, Carolyn
Morgan, Jennifer
author_sort Russo, Carolyn
collection PubMed
description Providing equal access to pediatric cancer patients regardless of their geographic location is a major goal of the Affiliate Program at St. Jude Children’s Research Hospital (St. Jude). Thirty-five percent of new cancer patients enrolled on St. Jude clinical trials reside in the communities of 1 of the 8 affiliate clinics, which serve 9 states in the Southeast and Midwest United States. The affiliate clinics support participant recruitment for clinical trials and the geographic extension of St. Jude clinical care. To ensure high-quality pediatric cancer care, we instituted on-site clinical audits, however, we did not see improvement in clinical outcomes including the time to antibiotics in febrile immunocompromised patients, consistent hand-off communication, consistent documentation of oral chemotherapy, and adherence to a central line bundle in the ambulatory setting. We then moved to a more comprehensive clinical audit which involved self-reflection of clinic staff members, transparent data sharing, development of local quality champions, and engagement of senior leaders. The comprehensive approach was more successful in improving clinical outcomes including the time to antibiotics, hand-off communication, documentation of oral chemotherapy administration, and adherence to a central line bundle in the ambulatory setting.
format Online
Article
Text
id pubmed-10115487
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-101154872023-04-20 Reinventing the Clinical Audit in a Pediatric Oncology Network Russo, Carolyn Morgan, Jennifer J Pediatr Hematol Oncol Online Articles: Original Articles Providing equal access to pediatric cancer patients regardless of their geographic location is a major goal of the Affiliate Program at St. Jude Children’s Research Hospital (St. Jude). Thirty-five percent of new cancer patients enrolled on St. Jude clinical trials reside in the communities of 1 of the 8 affiliate clinics, which serve 9 states in the Southeast and Midwest United States. The affiliate clinics support participant recruitment for clinical trials and the geographic extension of St. Jude clinical care. To ensure high-quality pediatric cancer care, we instituted on-site clinical audits, however, we did not see improvement in clinical outcomes including the time to antibiotics in febrile immunocompromised patients, consistent hand-off communication, consistent documentation of oral chemotherapy, and adherence to a central line bundle in the ambulatory setting. We then moved to a more comprehensive clinical audit which involved self-reflection of clinic staff members, transparent data sharing, development of local quality champions, and engagement of senior leaders. The comprehensive approach was more successful in improving clinical outcomes including the time to antibiotics, hand-off communication, documentation of oral chemotherapy administration, and adherence to a central line bundle in the ambulatory setting. Lippincott Williams & Wilkins 2023-05 2022-11-15 /pmc/articles/PMC10115487/ /pubmed/36730655 http://dx.doi.org/10.1097/MPH.0000000000002591 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Online Articles: Original Articles
Russo, Carolyn
Morgan, Jennifer
Reinventing the Clinical Audit in a Pediatric Oncology Network
title Reinventing the Clinical Audit in a Pediatric Oncology Network
title_full Reinventing the Clinical Audit in a Pediatric Oncology Network
title_fullStr Reinventing the Clinical Audit in a Pediatric Oncology Network
title_full_unstemmed Reinventing the Clinical Audit in a Pediatric Oncology Network
title_short Reinventing the Clinical Audit in a Pediatric Oncology Network
title_sort reinventing the clinical audit in a pediatric oncology network
topic Online Articles: Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115487/
https://www.ncbi.nlm.nih.gov/pubmed/36730655
http://dx.doi.org/10.1097/MPH.0000000000002591
work_keys_str_mv AT russocarolyn reinventingtheclinicalauditinapediatriconcologynetwork
AT morganjennifer reinventingtheclinicalauditinapediatriconcologynetwork