{"id":"https://openalex.org/W7224128446","doi":"https://doi.org/10.3389/fped.2026.1920472","title":"The golden hour: the feasibility of a quality improvement project to decrease the time to antibiotic administration in children with cancer and febrile neutropenia in Jordan","display_name":"The golden hour: the feasibility of a quality improvement project to decrease the time to antibiotic administration in children with cancer and febrile neutropenia in Jordan","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224128446","doi":"https://doi.org/10.3389/fped.2026.1920472"},"language":"en","primary_location":{"id":"doi:10.3389/fped.2026.1920472","doi":"https://doi.org/10.3389/fped.2026.1920472","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1920472","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1920472/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1920472/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023906863","display_name":"Hadeel Halalsheh","orcid":"https://orcid.org/0000-0003-4803-1976","observed_orcids":["https://orcid.org/0000-0003-4803-1976"]},"institutions":[{"id":"https://openalex.org/I114972647","display_name":"University of Jordan","ror":"https://ror.org/05k89ew48","country_code":"JO","type":"education","lineage":["https://openalex.org/I114972647"]},{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Hadeel Halalsheh","raw_affiliation_strings":["Department of Pediatrics, King Hussein Cancer Center","Department of Pediatrics, The University of Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]},{"raw_affiliation_string":"Department of Pediatrics, The University of Jordan","institution_ids":["https://openalex.org/I114972647"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043168936","display_name":"Ghada Abu Alrub","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Ghada Abu Alrub","raw_affiliation_strings":["Quality Office, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quality Office, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160044396","display_name":"Islam Kallab","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Islam Kallab","raw_affiliation_strings":["Department of Nursing, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160021515","display_name":"Nimeh Al-shawabkeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Nimeh Al-shawabkeh","raw_affiliation_strings":["Department of Nursing, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160020683","display_name":"Ahmad Suleiman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Ahmad Suleiman","raw_affiliation_strings":["Department of Nursing, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015248796","display_name":"Tamara Z. Dabbagh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Tamara Dabbagh","raw_affiliation_strings":["Department of Nursing, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160042769","display_name":"Tasneem Dajani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Tasneem Dajani","raw_affiliation_strings":["Department of Nursing, King Hussein Cancer Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015683038","display_name":"Iyad Yasin Sultan","orcid":"https://orcid.org/0000-0002-2664-1565","observed_orcids":["https://orcid.org/0000-0002-2664-1565"]},"institutions":[{"id":"https://openalex.org/I114972647","display_name":"University of Jordan","ror":"https://ror.org/05k89ew48","country_code":"JO","type":"education","lineage":["https://openalex.org/I114972647"]},{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Iyad Sultan","raw_affiliation_strings":["Department of Pediatrics, King Hussein Cancer Center","Department of Pediatrics, The University of Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]},{"raw_affiliation_string":"Department of Pediatrics, The University of Jordan","institution_ids":["https://openalex.org/I114972647"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089078751","display_name":"Faiha Bazzeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114972647","display_name":"University of Jordan","ror":"https://ror.org/05k89ew48","country_code":"JO","type":"education","lineage":["https://openalex.org/I114972647"]},{"id":"https://openalex.org/I2799468983","display_name":"King Hussein Cancer Center","ror":"https://ror.org/0564xsr50","country_code":"JO","type":"nonprofit","lineage":["https://openalex.org/I2799468983"]}],"countries":["JO"],"is_corresponding":true,"raw_author_name":"Faiha Bazzeh","raw_affiliation_strings":["Department of Pediatrics, King Hussein Cancer Center","Department of Pediatrics, The University of Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, King Hussein Cancer Center","institution_ids":["https://openalex.org/I2799468983"]},{"raw_affiliation_string":"Department of Pediatrics, The University of Jordan","institution_ids":["https://openalex.org/I114972647"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5089078751"],"corresponding_institution_ids":["https://openalex.org/I114972647","https://openalex.org/I2799468983"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83444178,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12172","display_name":"Neutropenia and Cancer Infections","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12172","display_name":"Neutropenia and Cancer Infections","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/febrile-neutropenia","display_name":"febrile neutropenia","score":0.9919999837875366},{"id":"https://openalex.org/keywords/pediatric-oncology","display_name":"pediatric oncology","score":0.8429999947547913},{"id":"https://openalex.org/keywords/pediatric-cancer","display_name":"childhood cancer","score":0.828000009059906},{"id":"https://openalex.org/keywords/golden-hour","display_name":"golden hour","score":0.7260000109672546},{"id":"https://openalex.org/keywords/pediatric-emergency-department","display_name":"pediatric emergency department","score":0.8149999976158142},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.8769999742507935},{"id":"https://openalex.org/keywords/focus-pdca","display_name":"FOCUS-PDCA","score":0.8640000224113464},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.8159999847412109},{"id":"https://openalex.org/keywords/absolute-neutrophil-count","display_name":"absolute neutrophil count","score":0.7419999837875366},{"id":"https://openalex.org/keywords/jordan","display_name":"Jordan","score":0.3919999897480011},{"id":"https://openalex.org/keywords/hospital-infection-control","display_name":"hospital infection control","score":0.4779999852180481},{"id":"https://openalex.org/keywords/sepsis-treatment","display_name":"sepsis treatment","score":0.39899998903274536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9592000246047974},{"id":"https://openalex.org/C2778850193","wikidata":"https://www.wikidata.org/wiki/Q3775974","display_name":"Febrile neutropenia","level":4,"score":0.7890999913215637},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.7802000045776367},{"id":"https://openalex.org/C2777063308","wikidata":"https://www.wikidata.org/wiki/Q1435822","display_name":"Neutropenia","level":3,"score":0.5964000225067139},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5907999873161316},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5346999764442444},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.5235999822616577},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4846000075340271},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.47350001335144043},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.43790000677108765},{"id":"https://openalex.org/C2992972558","wikidata":"https://www.wikidata.org/wiki/Q2509220","display_name":"Blood cancer","level":3,"score":0.41510000824928284},{"id":"https://openalex.org/C74133956","wikidata":"https://www.wikidata.org/wiki/Q4669824","display_name":"Absolute neutrophil count","level":4,"score":0.40880000591278076},{"id":"https://openalex.org/C2993561819","wikidata":"https://www.wikidata.org/wiki/Q5097977","display_name":"Pediatric cancer","level":3,"score":0.384799987077713},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3529999852180481},{"id":"https://openalex.org/C2993328841","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotic therapy","level":3,"score":0.34389999508857727},{"id":"https://openalex.org/C2779473907","wikidata":"https://www.wikidata.org/wiki/Q886695","display_name":"Blood culture","level":3,"score":0.30889999866485596},{"id":"https://openalex.org/C2911146124","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antibiotic Stewardship","level":4,"score":0.3059999942779541},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C2779443120","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bacteremia","level":3,"score":0.28929999470710754},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C2778602436","wikidata":"https://www.wikidata.org/wiki/Q4774943","display_name":"Antibiotic prophylaxis","level":3,"score":0.2856999933719635},{"id":"https://openalex.org/C3019917304","wikidata":"https://www.wikidata.org/wiki/Q886518","display_name":"Blood count","level":2,"score":0.2806999981403351},{"id":"https://openalex.org/C2780873365","wikidata":"https://www.wikidata.org/wiki/Q496812","display_name":"Leukopenia","level":3,"score":0.27950000762939453},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2651999890804291},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.26499998569488525},{"id":"https://openalex.org/C2776376844","wikidata":"https://www.wikidata.org/wiki/Q886518","display_name":"Complete blood count","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.25440001487731934},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25279998779296875}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fped.2026.1920472","doi":"https://doi.org/10.3389/fped.2026.1920472","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1920472","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1920472/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:5b07752de71b4e75a44a507c2b9f34be","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5b07752de71b4e75a44a507c2b9f34be","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Pediatrics, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fped.2026.1920472","doi":"https://doi.org/10.3389/fped.2026.1920472","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1920472","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1920472/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224128446.pdf","grobid_xml":"https://content.openalex.org/works/W7224128446.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1587114759","https://openalex.org/W1961564411","https://openalex.org/W2016717324","https://openalex.org/W2040247525","https://openalex.org/W2054258120","https://openalex.org/W2084999893","https://openalex.org/W2114201476","https://openalex.org/W2114792652","https://openalex.org/W2115133509","https://openalex.org/W2124338304","https://openalex.org/W2305138900","https://openalex.org/W2328037086","https://openalex.org/W2329957536","https://openalex.org/W2341143633","https://openalex.org/W2529036863","https://openalex.org/W2778782756","https://openalex.org/W2885354547","https://openalex.org/W2903489621","https://openalex.org/W2920870738","https://openalex.org/W2951927216","https://openalex.org/W2971985538","https://openalex.org/W2990851303","https://openalex.org/W3130648822","https://openalex.org/W3135639710","https://openalex.org/W3162790044","https://openalex.org/W4226150097","https://openalex.org/W4308348619","https://openalex.org/W4317776100","https://openalex.org/W4368375962","https://openalex.org/W4399364110","https://openalex.org/W4404006172","https://openalex.org/W4415040572","https://openalex.org/W7122439759","https://openalex.org/W7125003892","https://openalex.org/W7158569559"],"related_works":["https://openalex.org/W2990851303","https://openalex.org/W7197005336","https://openalex.org/W7221127389","https://openalex.org/W7223590155","https://openalex.org/W7125003892","https://openalex.org/W4308348619","https://openalex.org/W4401670839","https://openalex.org/W2114792652","https://openalex.org/W2949733291","https://openalex.org/W3109526296"],"abstract_inverted_index":{"Background":[0],"Febrile":[1],"neutropenia":[2],"(FN)":[3],"is":[4,15,299],"a":[5,259],"potentially":[6],"life-threatening":[7],"condition":[8],"in":[9,27,42,254,270,281,289,309,312],"pediatric":[10],"oncology;":[11],"early":[12],"antibiotic":[13,38,189,216,233,310,341],"initiation":[14,342],"associated":[16,303],"with":[17,76,108,124,143,155,246,265,304,335,338],"improved":[18,251],"survival.":[19],"A":[20,89,293],"quality":[21],"improvement":[22,308,328],"(QI)":[23],"project":[24,46],"was":[25,47,94,175,285],"implemented":[26],"the":[28,35,45,50,138,206,247,255,266,313],"Pediatric":[29],"Emergency":[30],"Room":[31],"(ER)":[32],"to":[33,65,114,134,188,200,218,232,238,258,279,287],"improve":[34],"timeliness":[36,311],"of":[37,71,274,326],"administration.":[39],"Methods":[40],"Starting":[41],"July":[43,132],"2019,":[44],"designed":[48],"using":[49],"Find,":[51],"Organize,":[52],"Clarify,":[53],"Understand,":[54],"and":[55,59,99,276,302,306,346],"Select\u2013Plan,":[56],"Do,":[57],"Check,":[58],"Act":[60],"(FOCUS\u2013PDCA)":[61],"framework.":[62],"We":[63],"aimed":[64],"give":[66],"antibiotics":[67,82],"within":[68,353],"60":[69,248],"min":[70,194,202,240,249],"ER":[72,160,186],"arrival":[73,187,231],"for":[74,85,127,158,333,343],"children":[75,123,142,334],"suspected":[77],"FN.":[78],"High-risk":[79],"patients":[80],"received":[81],"without":[83,317],"waiting":[84],"blood":[86],"count":[87,171],"confirmation.":[88],"structured":[90,294],"staff":[91],"education":[92],"campaign":[93],"conducted":[95],"over":[96],"6":[97],"months,":[98],"performance":[100],"metrics":[101],"were":[102,106,329],"continuously":[103],"monitored.":[104],"Outcomes":[105],"compared":[107],"retrospective":[109],"data":[110],"from":[111,185,192,215,230,236,252],"December":[112,135],"2018":[113],"June":[115],"2019.":[116],"Results":[117],"The":[118,167,213,283,323],"pre-intervention":[119,198,256],"cohort":[120],"included":[121],"119":[122],"cancer,":[125],"accounting":[126,157],"158":[128],"FN":[129],"episodes.":[130],"From":[131],"2019":[133],"2024,":[136],"during":[137],"intervention":[139],"period,":[140],"697":[141],"cancer":[144,336],"(median":[145,162,223],"age":[146],"4.7":[147],"years;":[148,151],"IQR":[149],"2.6\u20139.2":[150],"54%":[152],"male)":[153],"presented":[154],"FN,":[156],"1,164":[159],"visits":[161],"1":[163],"visit/patient;":[164],"range,":[165],"1\u201311).":[166],"median":[168],"absolute":[169],"neutrophil":[170],"(ANC)":[172],"at":[173,197],"presentation":[174],"50":[176,201],"cells/":[177],"\u03bc":[178],"L":[179],"(IQR,":[180,195,203],"0\u2013180":[181],"cells/\u03bcL).":[182],"Median":[183],"time":[184,214,229],"administration":[190],"decreased":[191,235],"120":[193],"97\u2013143)":[196],"baseline":[199],"40\u201365)":[204],"across":[205,263],"implementation":[207],"period":[208,257],"(":[209,241],"p":[210,242],"<":[211,243],"0.01).":[212,244],"ordering":[217,234],"first":[219],"dose":[220],"remained":[221],"stable":[222],"32":[224],"min;":[225],"IQR,":[226],"25\u201340),":[227],"while":[228],"53":[237],"15":[239],"Compliance":[245],"target":[250,268,284],"22%":[253],"sustained":[260,307,327],"85%\u201390%":[261],"range":[262],"2021\u20132024,":[264],"\u226590%":[267],"met":[269],"all":[271,351],"12":[272],"months":[273],"2021":[275],"compliance":[277],"declining":[278],"85.8%":[280],"2024.":[282],"increased":[286],"90%":[288],"September":[290],"2020.":[291],"Conclusion":[292],"Golden":[295],"Hour":[296],"QI":[297],"initiative":[298],"feasible,":[300],"effective,":[301],"substantial":[305],"Middle":[314],"East":[315],"region,":[316],"additional":[318],"funding,":[319],"staffing,":[320],"or":[321],"technology.":[322],"core":[324],"drivers":[325],"automatic":[330],"Category-A":[331],"triage":[332],"presenting":[337],"fever,":[339],"pre-ANC":[340],"high-risk":[344],"cases,":[345],"monthly":[347],"audit-feedback":[348],"cycles":[349],"\u2014":[350],"implementable":[352],"existing":[354],"workflows.":[355]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}