Implementing Rapid Whole-Genome Sequencing in Critical Care: A Qualitative Study of Facilitators and Barriers to New Technology Adoption - 22/09/21
, Rebecca M. Kriz, RN, MS 2, Seema Rego, PhD 3, Karen Garman, EdD, MAPP, BCC 3, Charlotte Hobbs, MD, PhD 3, 4, David Dimmock, MD, FACMG DABP 3, 4Abstract |
Objective |
To characterize the views of members of the multi-disciplinary team regarding the implementation of rapid whole-genome sequencing (rWGS) as a first-tier test for critically ill children in diverse children's hospital settings.
Study design |
Qualitative interviews informed by implementation science theory were conducted with the multidisciplinary patient care teams and hospital leaders at each of the 5 tertiary care children's hospitals involved in a statewide rWGS implementation project.
Results |
Our analysis revealed 5 key themes regarding the implementation process across the sites: the need for rWGS champions, educational needs and strategies, negotiating decision-making roles and processes, workflows and workarounds, and perceptions about rWGS. From the findings a composite clinical workflow diagram was developed to summarize all of the processes involved in the implementation of the test, and the key areas where implementation practices differed.
Conclusions |
These findings provide insights for design of interventions to support adoption, scale-up, and sustainability of rWGS and other novel technologies in neonatal and pediatric critical care settings.
Le texte complet de cet article est disponible en PDF.Keywords : rapid whole-genome sequencing, implementation science, neonatal intensive care, pediatric critical care, technology adoption
Abbreviations : NICU, PICU, RCIGM, rWGS
Plan
| Funded by the Rady Children's Institute for Genomic Medicine. D.D. serves on the scientific advisory boards for Audentes Therapeutics, Inc, and Taysha Gene Therapies, Inc. The other authors declare no conflicts of interest. |
Vol 237
P. 237 - octobre 2021 Retour au numéro
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