The DECIDE-T protocol: adoption and enhancement of a care pathway for children with medical complexity – an implementation evaluation project for paediatric tracheostomy
Daniel Ofosu, Nadia Qureshi, Elise Kammerer, Larissa Lecona, Pam Thomson-Kai, Stephanie Nitschke, Kristen Gibson, Cathy Schellenberg, Stephanie Wilkes, Daniel Duke, Kayla Schaab, Juanita Davis, Nicole Bonn, Katie Mahon, Amber Deus, Tanya Doran, Sharon Wiens, Jody M Platt, Daniel Garros, Shelina M Jamal, Carina Majaesic, Lesley Soril, Karen Kam, Jennifer Walton, Jeff Round, Gabrielle L Zimmermann, Cheryl Mack, Michael K Stickland, Michael van Manen, Maria Luisa Castro Codesal · 2026
Read The DECIDE-T protocol: adoption and enhancement of a care pathway for children with medical complexity – an implementation evaluation project for paediatric tracheostomy by Daniel Ofosu, Nadia Qureshi, Elise Kammerer, Larissa Lecona, Pam Thomson-Kai, Stephanie Nitschke, Kristen Gibson, Cathy Schellenberg, Stephanie Wilkes, Daniel Duke, Kayla Schaab, Juanita Davis, Nicole Bonn, Katie Mahon, Amber Deus, Tanya Doran, Sharon Wiens, Jody M Platt, Daniel Garros, Shelina M Jamal, Carina Majaesic, Lesley Soril, Karen Kam, Jennifer Walton, Jeff Round, Gabrielle L Zimmermann, Cheryl Mack, Michael K Stickland, Michael van Manen, Maria Luisa Castro Codesal (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13422811.txt.
Description
Ofosu and a large Canadian team lay out in 2026 the DECIDE-T study protocol. The plan rolls out one shared digital care pathway across a whole province for children needing a tracheostomy, a breathing tube placed in the neck. Such pathways have shortened hospital stays at single centers.
The pathway, built into the electronic health record, covers everything from the decision to operate through acute care, the move home, and eventual tube removal. The evaluation compares care before and after rollout at multiple centers without a separate control group. It runs in four phases: assessing each site's barriers, matching strategies to them, launching the pathway while tracking clinical, cost, and reach outcomes, and sharing the lessons. Surveys, interviews, audits, and patient records feed the analysis, with costs judged from the public system's viewpoint.
Catalog record
| CREATOR | Daniel Ofosu, Nadia Qureshi, Elise Kammerer, Larissa Lecona, Pam Thomson-Kai, Stephanie Nitschke, Kristen Gibson, Cathy Schellenberg, Stephanie Wilkes, Daniel Duke, Kayla Schaab, Juanita Davis, Nicole Bonn, Katie Mahon, Amber Deus, Tanya Doran, Sharon Wiens, Jody M Platt, Daniel Garros, Shelina M Jamal, Carina Majaesic, Lesley Soril, Karen Kam, Jennifer Walton, Jeff Round, Gabrielle L Zimmermann, Cheryl Mack, Michael K Stickland, Michael van Manen, Maria Luisa Castro Codesal |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 36 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |