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Improving quality of pediatric onco-critical care: A 2-year experience using PROACTIVE at a cancer center in Jordan

Farris Abutineh1, Zebin Al Zebin2, Sakher Obeidat2

  • 1Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Pediatric Blood & Cancer
|August 17, 2023
PubMed

Insights

The PROACTIVE tool helps assess pediatric onco-critical care (POCC) services, identifying areas for improvement. It demonstrated effectiveness in strengthening and monitoring POCC at a Jordanian cancer center.

Area of Science:

  • Pediatric Oncology
  • Critical Care Medicine
  • Healthcare Management

Background:

  • Pediatric onco-critical care (POCC) services require robust assessment tools.
  • The PROACTIVE (PediatRic Oncology cApaCity Assessment Tool for IntensiVe CarE) tool was developed to evaluate POCC capacity.
  • King Hussein Cancer Center (KHCC) in Jordan implemented PROACTIVE in 2021 and 2022.

Purpose of the Study:

  • To evaluate the effectiveness of the PROACTIVE tool in identifying gaps within POCC services.
  • To assess PROACTIVE's role in driving improvements in POCC at KHCC.
  • To understand the mechanisms through which PROACTIVE facilitates service enhancement.

Main Methods:

  • Analysis of PROACTIVE assessment score changes between 2021 and 2022.
  • Qualitative interviews with KHCC site leaders.
  • Evaluation of identified outcomes linked to PROACTIVE implementation.

Main Results:

  • PROACTIVE successfully identified gaps in POCC services.
  • Observed outcomes included direct improvements (e.g., multidisciplinary communication) and indirect effects (e.g., guideline implementation).
  • Some outcomes were independent of PROACTIVE, highlighting the complexity of service improvement.

Conclusions:

  • The PROACTIVE tool is effective in assessing and identifying areas for improvement in pediatric onco-critical care.
  • It can serve as a valuable instrument for institutions to strengthen and monitor their POCC services.
  • The tool aids in understanding the impact and mechanisms of POCC service enhancement over time.

Keywords:
PROACTIVEQIcritical carepediatric oncologyresource-limited

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