biostudies-literatureUnknown13Abutineh F<h4>Background</h4>Pediatric Early Warning Systems (PEWS) aid in identification of deterioration in hospitalized children with cancer but are underutilized in resource-limited settings. Proyecto EVAT is a multicenter quality improvement (QI) collaborative in Latin America to implement PEWS. This study investigates the relationship between hospital characteristics and time required for PEWS implementation.<h4>Methods</h4>This convergent mixed-methods study included 23 Proyecto EVAT childhood cancer centers; 5 hospitals representing quick and slow implementers were selected for qualitative analysis. Semi-structured interviews were conducted with 71 stakeholders involved in PEWS implementation. Interviews were recorded, transcribed and translated to English, then coded using <i>a priori</i> aFrontiers in oncology1122355https://www.ebi.ac.uk/biostudies/studies/S-EPMC10189109biostudies-literatureImpact of hospital characteristics on implementation of a Pediatric Early Warning System in resource-limited cancer hospitals.PMC10189109Miller KCovarrubias DPuerto-Torres MAgulnik APineda EMuniz-Talavera HChavez Rios MNegroe Ocampo NDCRios LFerrara GGillipelli SRDevidas MElish PArce Cabrera DLoeza Oliva JJCarpio ZBarra CGomez-Garcia WChen YSoto Chavez VGonzalez-Ruiz AAlvarez SHernandez CPenafiel Ede Leon Vasquez LFing Soto EAJuarez Tobias MSDiaz Coronado RMontalvo Cozar ERodriguez Ordonez EArmenta Cruz MLeon EArguello Vargas DAbutineh FMendez ACalderon Sotelo PAlfonso Carreras YGraetz DEfalseImpact of hospital characteristics on implementation of a Pediatric Early Warning System in resource-limited cancer hospitals.<h4>Background</h4>Pediatric Early Warning Systems (PEWS) aid in identification of deterioration in hospitalized children with cancer but are underutilized in resource-limited settings. Proyecto EVAT is a multicenter quality improvement (QI) collaborative in Latin America to implement PEWS. This study investigates the relationship between hospital characteristics and time required for PEWS implementation.<h4>Methods</h4>This convergent mixed-methods study included 23 Proyecto EVAT childhood cancer centers; 5 hospitals representing quick and slow implementers were selected for qualitative analysis. Semi-structured interviews were conducted with 71 stakeholders involved in PEWS implementation. Interviews were recorded, transcribed and translated to English, then coded using <i>a priori</i> a2023-01-01T00:00:00Z20232025-04-21T22:38:30.8Z2025-04-21T22:38:30.8ZS-EPMC101891093720716210.3389/fonc.2023.1122355