AIM To assess the impact of a pilot nurse-led paediatric oncology fast-track clinic (OFTC) for complications and side effects following chemotherapy within a paediatric tertiary hospital. METHODS Prospective clinical data from the first 100 patients seen in the OFTC were compared with retrospective data of oncology patient presentations to the emergency department (ED) (over a 1-year period, n = 196) who would have been eligible for review in the OFTC. Parent and patient satisfaction of clinical care were also assessed via surveys pre- and post-OFTC implementation. RESULTS Analysis which achieved statistical difference was a reduction in the number of blood tubes taken in OFTC (average 1.9 for those discharged from clinic, 2.9 for those admitted from clinic) in comparison to those seen in the ED (average 3.2) (p = 0.0027). The average number of interventions per patient seen in the ED were 2.1 (standard deviation 1.64) compared with 1.7 (standard deviation 1.55) interventions per patient seen in the OFTC, and who were not admitted following review. This result approached statistical significance with p = 0.0963. Other results which did not meet statistical significance included a reduction in treatment times, hospital admissions and medical oncology reviews. CONCLUSION Our pilot study implementing an OFTC for the triage and assessment of chemotherapy-related complications has proven successful from an operational and consumer perspective. The clinic improved care by ensuring expedited review, more streamlined interventions, and less overall hospital admissions. The improvements in efficiency were also mirrored by increased parent and patient satisfaction.

中文翻译：

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由护士领导的儿科肿瘤快速通道诊所证明了对患者的成功门诊干预。

目的评估由护士领导的儿科肿瘤快速通道诊所（OFTC）在儿科三级医院进行化疗后的并发症和副作用的影响。方法将在OFTC中就诊的前100名患者的前瞻性临床数据与向急诊科（ED）（在1年期间，n = 196）中符合条件的肿瘤科患者的回顾性数据进行比较。 OFTC。还通过OFTC实施前后的调查评估了父母和患者对临床护理的满意度。结果与ED中观察到的（平均3.2）相比，分析得出的统计学差异是在OFTC中抽取的血管数量减少了（从诊所出院的平均为1.9，从诊所接受的平均为2.9）（p = 0.0027） ）。急诊室每位患者的平均干预次数为2.1（标准差1.64），而OFTC中每位患者的平均干预次数为1.7（标准差1.55）。该结果接近统计学意义，p = 0.0963。其他不符合统计学意义的结果包括治疗时间的减少，住院次数的减少以及肿瘤内科的复查。结论从操作和消费者的角度来看，我们的初步研究证明了使用OFTC进行化学相关并发症的分类和评估。该诊所通过确保快速审查，更简化的干预措施和更少的整体住院人数来改善护理。父母和患者满意度的提高也反映了效率的提高。