Publication:
The COVID‐19 Pandemic's impact on sustainability and expansion of a Pediatric Early Warning System in resource‐limited hospitals

Simple item page
dc.contributor.authorWiphatphumiprates, Parima P
dc.contributor.authorGraetz, Dylan E
dc.contributor.authorFerrara, Gia
dc.contributor.authorPuerto-Torres, Maria
dc.contributor.authorGillipelli, Srinithya R
dc.contributor.authorElish, Paul
dc.contributor.authorMuniz-Talavera, Hilmarie
dc.contributor.authorGonzalez-Ruiz, Alejandra
dc.contributor.authorArmenta, Miriam
dc.contributor.authorBarra, Camila
dc.contributor.authorCarpio, Zulma
dc.contributor.authorHernandez, Cinthia
dc.contributor.authorJuarez, Susana
dc.contributor.authorde Jesus Loeza, Jose
dc.contributor.authorMendez, Alejandra
dc.contributor.authorMontalvo, Erika
dc.contributor.authorPenafiel, Eulalia
dc.contributor.authorPineda, Estuardo
dc.contributor.authorMcKay, Virginia
dc.contributor.authorAgulnik, Asya
dc.date.accessioned2024-08-15T13:44:46Z
dc.date.available2024-08-15T13:44:46Z
dc.date.issued2023
dc.description.abstractBackground: 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 due to the pandemic. However, the impact on PEWS varied across centers. Identified factors that promoted or limited ongoing PEWS use included the availability of material resources needed for PEWS, staff turnover, PEWS training for staff, and the willingness of staff and hospital leaders to prioritize PEWS. Consequently, some hospitals were able to sustain PEWS; others halted or reduced PEWS use to prioritize other work. Similarly, the pandemic delayed plans at all hospitals to expand PEWS to other units. Several participants were hopeful for future expansion of PEWS post-pandemic. Conclusion: The COVID-19 pandemic created challenges for sustainability and scale of PEWS, an ongoing QI program, in these resource-limited pediatric oncology centers. Several factors mitigated these challenges and promoted ongoing PEWS use. These results can guide strategies to sustain effective QI interventions during future health crises. Keywords: COVID-19; Latin America; PEWS; implementation science; pediatric early warning system; pediatric oncology; quality improvement collaborative; resource-limited.
dc.identifier.citationWiphatphumiprates 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. The COVID-19 Pandemic's impact on sustainability and expansion of a Pediatric Early Warning System in resource-limited hospitals. Cancer Med. 2023 May;12(10):11878-11888. doi: 10.1002/cam4.5876. Epub 2023 Apr 6. PMID: 37022012; PMCID: PMC10242859.
dc.identifier.urihttp://biblioteca.solcaquito.org.ec:9997/handle/123456789/1574
dc.language.isoen
dc.titleThe COVID‐19 Pandemic's impact on sustainability and expansion of a Pediatric Early Warning System in resource‐limited hospitals
dc.typeArticle
dspace.entity.typePublication
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
COVID PEWS Sustainability-Final Published.pdf
Size:
710.56 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed to upon submission
Description:
Download
Collections
PubMed