Model for regional collaboration: Successful strategy to implement a pediatric early warning system in 36 pediatric oncology centers in Latin America.
Asya AgulnikAlejandra Gonzalez RuizHilmarie Muniz-TalaveraAngela K CarrilloAdolfo CárdenasMaria F Puerto-TorresMarcela GarzaTania CondeDora J Soberanis VasquezAlejandra Méndez AceitunoCarlos Acuña AguirreYvania AlfonsoShillel Yahamy Álvarez ArellanoDeiby Argüello VargasRosario BatistaErika Esther Blasco ArriagaMayra Chávez RiosMaría Elena Cuencio RodríguezEver Amilcar Fing SotoWendy Gómez-GarcíaRafael H Guillén VillatoroMaría de Lourdes Gutiérrez RiveraMartha Herrera AlmanzaYajaira V Jimenez AntolinezMaria Susana Juárez TobiasNorma Araceli López FacundoRuth Angélica Martínez SoriaKenia MillerScheybi MiraldaRoxana MoralesNatalia Negroe OcampoAlejandra OsunaClaudia Pascual MoralesClara Krystal Pérez FerminCarlos M Pérez AlvaradoEstuardo PinedaCarlos Andrés PortillaLigia Estefanía Rios LópezJocelyn RiveraArely Saraí Sagaón OlivaresMélida Cristina Saguay TacuriBeatriz T Salas MendozaIvel Solano PicadoVerónica Soto ChávezIsidoro Tejocote RomeroDaniel TatayJuliana Teixeira CostaErika VillanuevaMarielba Villegas PachecoVirginia R McKayMonika L MetzgerPaola FriedrichCarlos Rodriguez-Galindonull nullPublished in: Cancer (2022)
Pediatric early warning systems (PEWS) are clinical tools used to identify deterioration in hospitalized children with cancer; however, implementation challenges limit their use in resource-limited settings. Proyecto EVAT is a multicenter quality-improvement collaborative to implement PEWS in 36 pediatric oncology centers in Latin America. This is the first multicenter, multinational study reporting a successful implementation strategy (Proyecto EVAT) to regionally scale-up PEWS. The lessons learned from Proyecto EVAT can inform future programs to promote the adoption of clinical interventions to globally improve childhood cancer outcomes.