作者
Dylan Graetz, Erica C Kaye, Marcela Garza, Gia Ferrara, Mario Rodriguez, Dora Judith Soberanis Vásquez, Alejandra Méndez Aceituno, Federico Antillon-Klussmann, Jami S Gattuso, Belinda N Mandrell, Justin N Baker, Carlos Rodriguez-Galindo, Jennifer W Mack, Asya Agulnik
发表日期
2020/7
期刊
JCO global oncology
卷号
6
页码范围
1079-1086
出版商
American Society of Clinical Oncology
简介
PURPOSE
Hospitalized pediatric oncology patients are at high risk of deterioration and require frequent interdisciplinary communication to deliver high-quality care. Pediatric early warning systems (PEWS) are used by hospitals to reduce deterioration, but it is unknown how these systems affect communication about patient care in high- and limited-resource pediatric oncology settings.
METHODS
This qualitative study included semistructured interviews describing PEWS and subsequent team communication at 2 pediatric cancer centers, 1 in the United States and 1 in Guatemala. Participants included nurses, and frontline and intensive care providers who experienced recent deterioration events. Transcripts were coded and analyzed inductively using MAXQDA software.
RESULTS
The study included 41 providers in Guatemala and 42 providers in the United States (33 nurses, 30 ward …
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