Home-based care of low-risk febrile neutropenia in children-an implementation study in a tertiary paediatric hospital
Gabrielle M Haeusler, Lynda Gaynor, Benjamin Teh, Franz E Babl, Lisa M Orme, Ahuva Segal, Francoise Mechinaud, Penelope A Bryant, Bob Phillips, Richard De Abreu Lourenco, Monica A Slavin, Karin A Thursky
Supportive Care in Cancer | SPRINGER | Published : 2020
BACKGROUND: Home-based management of low-risk febrile neutropenia (FN) is safe, improves quality of life and reduces healthcare expenditure. A formal low-risk paediatric program has not been implemented in Australia. We aimed to describe the implementation process and evaluate the clinical impact. METHOD: This prospective study incorporated three phases: implementation, intervention and evaluation. A low-risk FN implementation toolkit was developed, including a care-pathway, patient information, home-based assessment and educational resources. The program had executive-level endorsement, a multidisciplinary committee and a nurse specialist. Children with cancer and low-risk FN were eligible ..View full abstract
Awarded by National Health and Medical Research Association (NHMRC)
Program implementation was supported by a grant from Better Care Victoria (BCV), Department of Health and Human Services, Victorian State Government. Baseline data collection was supported by a grant from National Health and Medical Research Association (NHMRC) Project Grant (APP1104527).