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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

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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...

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,...