LAUSR

Key Points Question What barriers and enablers to pediatric early warning systems (PEWS) implementation in resource-limited hospitals are reported by health care professionals? Findings In this qualitative study including 5 resource-limited pediatric oncology centers in 4 countries in Latin America, many barriers to PEWS implementation were identified, including inadequate resources and staff resistance to change. Most barriers were successfully converted to enablers during implementation through strategies such as early stakeholder engagement, adapting PEWS to the local context, and changing the hospital setting to support use of PEWS. Meaning The findings of this study suggest that barriers to implementation of evidence-based interventions in resource-limited settings are not immutable and can be converted to enablers through targeted implementation strategies.