Mostrando 1 - 8 Resultados de 8 Para Buscar 'Agulnik, A', tiempo de consulta: 2.08s Limitar resultados
1
artículo
Model for regional collaboration: Successful strategy to implement a pediatric early warning system in 36 pediatric oncology centers in Latin America
Publicado por
Agulnik, A, Gonzalez-Ruiz, A, Muniz-Talavera, H, Carrillo, AK, Cárdenas, A, Puerto-Torres, MF, Garza, M, Conde, T, Soberanis-Vasquez, DJ, Méndez-Aceituno, A, Acuña-Aguirre, C, Alfonso, Y, Álvarez-Arellano, SY, Argüello Vargas, D, Batista, R, Blasco Arriaga, EE, Chávez Rios, M, Cuencio Rodríguez, ME, Fing Soto, EA, Gómez-García, W, Guillén Villatoro, RH, Gutiérrez Rivera, MDL, Herrera Almanza, M, Jimenez Antolinez, YV, Juárez Tobias, MS, López Facundo, NA, Martínez Soria, RA, Miller, K, Miralda, S, Morales, R, Negroe Ocampo, N, Osuna, A, Pascual Morales, C, Pérez Fermin, CK, Pérez Alvarado, CM, Pineda, E, Andrés Portilla, C, Rios López, LE, Rivera, J, Sagaón Olivares, AS, Saguay Tacuri, MC, Salas-Mendoza, BT, Solano Picado, I, Soto Chávez, V, Tejocote Romero, I, Tatay, D, Teixeira Costa, J, Villanueva, E, Villegas Pacheco, M, McKay, VR, Metzger, ML, Friedrich, P, Rodriguez-Galindo, C
Publicado 2022 Enlace
Background: Pediatric early warning systems (PEWS) aid in the early identification of deterioration in hospitalized children with cancer however, they are under-used in resource-limited settings. The authors use the knowledge-to-action framework to describe the implementation strategy for Proyecto Escala de Valoracion de Alerta Temprana (EVAT), a multicenter quality-improvement collaborative, to scale-up PEWS in pediatric oncology centers in Latin America. Methods: Proyecto EVAT mentored participating centers through an adaptable implementation strategy to: (1) monitor clinical deterioration in children with cancer, (2) contextually adapt PEWS, (3) assess barriers to using PEWS, (4) pilot and implement PEWS, (5) monitor the use of PEWS, (6) evaluate outcomes, and (7) sustain PEWS. The implementation outcomes assessed included the quality of PEWS use, the time required for implementation,...
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2
artículo
Challenges to sustainability of pediatric early warning systems (PEWS) in low-resource hospitals in Latin America
Publicado por
Agulnik, A, Schmidt-Grimminger, G, Ferrara, G, Puerto-Torres, M, Gillipelli, SR, Elish, P, Muniz-Talavera, H, Gonzalez-Ruiz, A, Armenta, M, Barra, C, Diaz-Coronado, R, Hernandez, C, Juarez, S, Loeza, JJ, Mendez, A, Montalvo, E, Penafiel, E, Pineda, E, Graetz, DE, McKay, V
Publicado 2022 Enlace
Background: Sustainability, or continued use of evidence-based interventions for long-term patient benefit, is the least studied aspect of implementation science. In this study, we evaluate sustainability of a Pediatric Early Warning System (PEWS), an evidence-based intervention to improve early identification of clinical deterioration in hospitalized children, in low-resource settings using the Clinical Capacity for Sustainability Framework (CCS). Methods: We conducted a secondary analysis of a qualitative study to identify barriers and enablers to PEWS implementation. Semi-structured interviews with PEWS implementation leaders and hospital directors at 5 Latin American pediatric oncology centers sustaining PEWS were conducted virtually in Spanish from June to August 2020. Interviews were recorded, professionally transcribed, and translated into English. Exploratory thematic content ana...
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3
artículo
Multilevel impacts of a pediatric early warning system in resource-limited pediatric oncology hospitals
Publicado por
Mirochnick, E, Graetz, DE, Ferrara, G, Puerto-Torres, M, Gillipelli, SR, Elish, P, Muniz-Talavera, H, Gonzalez-Ruiz, A, Armenta, M, Barra, C, Diaz-Coronado, R, Hernandez, C, Juarez, S, Loeza, JDJ, Mendez, A, Montalvo, E, Penafiel, E, Pineda, E, Agulnik, A
Publicado 2022 Enlace
Background: Pediatric Early Warning Systems (PEWS) reduce clinical deterioration, improve interdisciplinary communication, and provide cost savings
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4
artículo
Stages of change: Strategies to promote use of a Pediatric Early Warning System in resource-limited pediatric oncology centers
Publicado por
Woo, MC, Ferrara, G, Puerto-Torres, M, Gillipelli, SR, Elish, P, Muniz-Talavera, H, Gonzalez-Ruiz, A, Armenta, M, Barra, C, Diaz-Coronado, R, Hernandez, C, Juarez, S, Loeza, JDJ, Mendez, A, Montalvo, E, Peñafiel, E, Pineda, E, Graetz, DE, Kortz, T, Agulnik, A
Publicado 2023 Enlace
Background: Pediatric Early Warning Systems (PEWS) assist early detection of clinical deterioration in hospitalized children with cancer. Relevant to successful PEWS implementation, the “stages of change” model characterizes stakeholder support for PEWS based on willingness and effort to adopt the new practice. Methods: At five resource-limited pediatric oncology centers in Latin America, semi-structured interviews were conducted with 71 hospital staff involved in PEWS implementation. Purposive sampling was used to select centers requiring variable time to complete PEWS implementation, with low-barrier centers (3–4 months) and high-barrier centers (10–11 months). Interviews were conducted in Spanish, professionally transcribed, and translated into English. Thematic content analysis explored “stage of change” with constant comparative analysis across stakeholder types and stud...
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5
artículo
The COVID-19 Pandemic's impact on sustainability and expansion of a Pediatric Early Warning System in resource-limited hospitals
Publicado por
Wiphatphumiprates, PP, Graetz, DE, Ferrara, G, Puerto-Torres, M, Gillipelli, SR, Elish, P, Muniz-Talavera, H, Gonzalez-Ruiz, A, Armenta, M, Barra, C, Carpio, Z, Hernandez, C, Juarez, S, de-Jesus-Loeza, J, Mendez, A, Montalvo, E, Penafiel, E, Pineda, E, McKay, V, Agulnik, A
Publicado 2023 Enlace
Background: The COVID-19 pandemic impacted healthcare delivery worldwide, including pediatric cancer care, with a disproportionate effect in resource-limited settings. This study evaluates its impact on existing quality improvement (QI) programs. Methods: We conducted 71 semi-structured interviews of key stakeholders at five resource-limited pediatric oncology centers participating in a collaborative to implement Pediatric Early Warning System (PEWS). Interviews were conducted virtually using a structured interview guide, recorded, transcribed, and translated into English. Two coders developed a codebook of a priori and inductive codes and independently coded all transcripts, achieving a kappa of 0.8–0.9. Thematic analysis explored the impact of the pandemic on PEWS. Results: All hospitals reported limitations in material resources, reduction in staffing, and impacts on patient care du...
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6
artículo
Resilient health care in global pediatric oncology during the COVID-19 pandemic
Publicado por
Graetz, DE, Sniderman, E, Villegas, CA, Kaye, EC, Ragab, I, Laptsevich, A, Maliti, B, Naidu, G, Huang, H, Gassant, PY, Nunes Silva, L, Arce, D, Montoya Vasquez, J, Arora, RS, Alcasabas, AP, Rusmawatiningtyas, D, Raza, MR, Velasco, P, Kambugu, J, Vinitsky, A, Rodriguez-Galindo, C, Agulnik, A, Moreira DC, COVIMPACT Study Group
Publicado 2021 Enlace
Background: In the face of unprecedented challenges because of coronavirus disease 2019, interdisciplinary pediatric oncology teams have developed strategies to continue providing high-quality cancer care. This study explored factors contributing to health care resilience as perceived by childhood cancer providers in all resource level settings. Methods: This qualitative study consisted of 19 focus groups conducted in 16 countries in 8 languages. Seven factors have been previously defined as important for resilient health care including: 1) in situ practical experience, 2) system design, 3) exposure to diverse views on the patient's situation, 4) protocols and checklists, 5) teamwork, 6) workarounds, and 7) trade-offs. Rapid turn-around analysis focused on these factors. Results: All factors of health care resilience were relevant to groups representing all resource settings. Focus ...
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7
artículo
Utilizing Multilingual Methods and Rapid Analysis for Global Qualitative Research During a Pandemic
Publicado por
Graetz, DE, Sniderman, E, Villegas, C, Ragab, I, Laptsevich, A, Maliti, B, Naidu, G, Zhang, H, Gassant, P, Nunes, L, Arce, D, Vasquez, JM, Arora, RS, Alcasabas, AP, Rusmawatiningtyas, D, Raza, MR, Hamid, SA, Velasco, P, Kambugu, J, Vinitsky, A, Bolous, NS, Haidar, CE, Bihannic, L, Sa da Bandeira, D, Wang, JX, Li, D, Graca, F, Vasilyeva, A, Lesmana, H, Galindo, CR, Agulnik, A, Moreira, DC
Publicado 2022 Enlace
Historically, qualitative research has complemented quantitative biologic and epidemiologic studies to provide a more complete understanding of pandemics. The COVID-19 pandemic has generated unique and novel challenges for qualitative researchers, who have embraced creative solutions including virtual focus groups and rapid analyses to continue their work. We present our experience conducting a multilingual global qualitative study of healthcare resilience among teams of pediatric oncology professionals during the COVID-19 pandemic. We provide an in-depth description of our methodology and an analysis of factors we believe contributed to our study’s success including our use of technology, engagement of a large multilingual team, global partnerships, and framework-based rapid analysis. We hope these techniques may be useful to qualitative researchers conducting studies during the curre...
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8
artículo
Documenting adaptations to an evidence-based intervention in 58 resource-variable pediatric oncology hospitals across implementation phases
Publicado por
Quesada-Stoner, AC, Islam, S, Siječić, A, Malone, S, Puerto-Torres, MF, Cardenas, A, Prewitt, K, Alfonso, Carreras, Y, Alvarez-Arellano, SY, Argüello-Vargas, D, Ceballo-Batista, GI, Diaz-Coronado, R, Diniz, Borborema, MDC, Toledo, JE, Fing, E, Garay, Z, Hernández-González, CJ, Jimenez-Antolinez, YV, Juárez, Tobías, MS, Lemos, de, Mendonça, e, Fontes, L, Lopez-Facundo, NA, Mijares, Tobias, JM, Miralda-Méndez, ST, Montalvo, E, Cawich, ZN, Portilla, Figueroa, CA, Sahonero, M, Sánchez-Martín, M, Serrano-Landivar, MX, Soledad, García, V, Vasquez, A, Velásquez, Cabrera, DM, Carothers, BJ, Shelton, RC, Graetz, D, Acuña, C, Luke, DA, McKay, VRR, Agulnik, A
Publicado 2024 Enlace
Background: Adaptation of evidence-based interventions (EBIs) often occurs when implemented in new local contexts and settings. It is unclear, however, during which phase of implementation adaptations are most frequently made and how these changes may impact the fidelity, effectiveness, and sustainability of the EBI. Pediatric Early Warning Systems (PEWS) are EBIs for early identification of deterioration in hospitalized children with cancer. This study evaluates adaptations of PEWS made among resource-variable pediatric oncology hospitals in Latin America implementing and sustaining PEWS. Methods: We conducted a cross-sectional survey among pediatric oncology centers participating in Proyecto Escala de Valoración de Alerta Temprana (EVAT), a collaborative to implement PEWS. Adaptations to PEWS were assessed via 3 multiple choice and 1 free text question administered as part of a large...
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