Evidence map›Paper›PMID 41799838›Full record

ArticleJournal of the American College of Emergency Physicians open2026

An Implementation Science Approach to Introducing the National Emergency Airway Registry for Pediatric Emergency Medicine Preintubation Checklist: Understanding Facilitators and Barriers.

Robyn Wing, D Grace Smith, E Ruby Cramer, Rochelle Rosen, Hannah E Frank, Ariana M Albanese, Monica M Prieto, Emily Greenwald, Joshua Nagler, Michael P Goldman and 4 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Robyn WingDepartments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital, Providence, Rhode Island, USA.
D Grace SmithAdvance-CTR, Division of Biology and Medicine, Brown University, Providence, Rhode Island, USA.
E Ruby CramerBrown Research on Implementation and Dissemination to Guide Evidence Use (BRIDGE) Program, Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.
Rochelle RosenDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Rhode Island, USA.
Hannah E FrankBrown Research on Implementation and Dissemination to Guide Evidence Use (BRIDGE) Program, Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Ariana M AlbaneseBrown Research on Implementation and Dissemination to Guide Evidence Use (BRIDGE) Program, Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Monica M PrietoDivision of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Emily GreenwaldDivision of Pediatric Emergency Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Joshua NaglerDepartments of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Michael P GoldmanDepartment of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Kelsey A MillerDepartments of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Benjamin NtiDepartment of Emergency Medicine, Division of Pediatric Emergency Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Natalie NapolitanoClinical Scientist, Respiratory Therapy Department, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Akira NishisakiDepartment of Anesthesiology, Critical Care, and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: 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.

Indexed as

checklistimplementation sciencepediatric intubation

Identifiers

PMID41799838
PMCPMC12964033

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.