Table 4 Key challenges, manifestations, and mitigation strategies in establishing the national PICU registry.

From: From fragmentation to integration: the implementation of Kuwait’s nationwide pediatric intensive care units registry

Challenges

Manifestation

Mitigation strategy

Stakeholder coordination

Fragmented engagement between hospitals

Established a national steering committee with site champions

Data standards

Heterogeneity in terminology across sites

Developed a standardized dataset with clear definition within each element

Motivation/Feedback

Initial reluctance to submit data regularly

Introduced quarterly benchmarking dashboards

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