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.
摘要：
PROACTIVE（用于IntensiVeCarE的PediatRicOncologycApaCity评估工具）是一种共识衍生工具，可评估儿科重症监护（POCC）服务并确定可改善的差距。侯赛因国王癌症中心（KHCC），约旦的一家肿瘤医院,在2021年和2022年完成了PROACTIVE。我们评估了PROACTIVE的能力，以确定差距和改善在KHCC的POCC服务，通过分析分数变化和访谈现场领导者了解改善机制。结果确定了三种类型的结果：直接(例如，改善多学科交流)，间接(例如，指导方针实施)，和其他与PROACTIVE无关的结果(例如，筹资机制)。随着时间的推移，PROACTIVE可以协助机构加强和监测POCC服务。
