Optimising door-to-needle-time in children with febrile neutropenia in the paediatric emergency unit—a quality improvement study

The median DTNT was significantly delayed in patients with FN. Inadequate knowledge and skills training, delays in vascular access and lack of implementation of standard protocols were identified as the key factors responsible for delays in antibiotic administration. QI strategies aimed at improving awareness and skill with rigorous training programs as well as clinical pathway implementation, significantly improved the time to antibiotic administration.