Fuente: PubMed "nature biotechnology" J Am Coll Emerg Physicians Open. 2026 Feb 27;7(2):100342. doi: 10.1016/j.acepjo.2026.100342. eCollection 2026 Apr.ABSTRACTOBJECTIVES: The National Emergency Airway Registry for Pediatric Emergency Medicine (NEAR4PEM) developed an evidence-based preintubation checklist, but translating this quality improvement tool into improved intubation outcomes in the Pediatric Emergency Department requires attention to implementation. To optimize successful implementation, it is essential to understand multilevel implementation determinants. The objective of this study was to conduct a formative evaluation using the Consolidated Framework for Implementation Research (CFIR) to identify and assess implementation facilitators and barriers.METHODS: Data were collected using focus groups. Qualitative analysis was performed using the framework matrix approach. Interprofessional focus groups composed of physicians, nurses, pharmacists, and respiratory therapists were conducted at 4 purposefully sampled NEAR4PEM sites to represent varying annual visit volume, geographic location, and prior checklist experience. Barriers and facilitators were coded using CFIR domains and constructs and grouped into clinically relevant themes.RESULTS: Nineteen key informants from 4 hospital systems noted facilitators and barriers across CFIR domains. Prominent barriers included high staff turnover, team resistance to change, and perceived lack of need for a checklist. Prominent facilitators included adequate staff training, clear identification of a leader, communication and delivery to all key informants, and adaptability of the checklist.CONCLUSION: Data about multilevel implementation determinants were identified to support the ongoing creation and use of an implementation blueprint, a comprehensive plan for strategies, goals, timelines, and key personnel. Future steps involve the implementation of the checklist with concurrent evaluation of implementation and patient outcomes.PMID:41799838 | PMC:PMC12964033 | DOI:10.1016/j.acepjo.2026.100342