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. 2023 Nov;70(11):e30637.
doi: 10.1002/pbc.30637. Epub 2023 Aug 17.

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

Farris Abutineh  1 , Zebin Al Zebin  2 , Sakher Obeidat  2 , Dina Kafisheh  2 , Firas M Sakaan  1 , Maria Puerto-Torres  1 , Asya Agulnik  1 , Anita V Arias  1
Affiliations

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

Farris Abutineh et al. Pediatr Blood Cancer. 2023 Nov.

Abstract

PROACTIVE (PediatRic Oncology cApaCity Assessment Tool for IntensiVe CarE) is a consensus-derived tool that evaluates pediatric onco-critical care (POCC) services and identifies gaps amenable to improvement. King Hussein Cancer Center (KHCC), an oncology hospital in Jordan, completed PROACTIVE in 2021 and 2022. We evaluated PROACTIVE's ability to identify gaps and improve POCC services at KHCC by analyzing score changes and interviewing site leaders to understand mechanisms of improvement. Results identified three types of outcomes: direct (e.g., improved multidisciplinary communication), indirect (e.g., guidelines implementation), and other outcomes unrelated to PROACTIVE (e.g., funding mechanisms). PROACTIVE can assist institutions strengthen and monitor POCC services over time.

Keywords: PROACTIVE; QI; critical care; pediatric oncology; resource-limited.

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