Designing and defending a paediatric implementation plan — OSCE

Station brief (8–10 minutes)

A paediatric emergency department has a college-endorsed sepsis guideline, yet only 52% of eligible children receive the first antibiotic within the recommended hour. The guideline has been emailed and posted on the intranet for a year with no measurable change. The head of department has asked you, the senior registrar, to present a proper implementation plan to the departmental quality and safety committee and defend your method. You will be questioned on how you diagnose the barriers, which frameworks you use and why, how you choose strategies, how you measure success, and how you protect equity and sustainability. Do not invent mandated adoption targets. ^{[1] [3]}