Barriers, Facilitators, and Time Costs of Implementing a Pediatric Clinical Pathway Intervention.

ABSTRACT:

Objectives

Clinical pathways can improve care and outcomes for children with respiratory illnesses. The Simultaneously Implementing Pathways for Improving Asthma, Pneumonia, and Bronchiolitis Care for Hospitalized Children (SIP) trial is a multicenter, randomized trial of a high-efficiency pathway intervention in general and community hospitals. Our objective was to describe implementation fidelity, strategy use, time costs, barriers, and facilitators.

Methods

We conducted a mixed-methods study. Hospitals received clinical pathways (intervention) and used 5 implementation strategies: quality improvement (QI) mentor meetings, education, iterative changes, audit and feedback, and clinical decision support via electronic order sets. Data were collected through monthly surveys (

SUBMITTER: Aziz SM 

PROVIDER: S-EPMC12180955 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature