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National Pediatric Readiness Project (Peds Ready) - Ensuring Emergency Care for All Children

PIPSQC is pleased to share highlights from the National Pediatric Readiness Project (Peds Ready) - a multi-phase quality improvement initiative to ensure that all U.S. emergency departments (ED) have the essential guidelines and resources in place to provide effective emergency care to children.


The Pediatric Readiness Resource Toolkit is designed to help your emergency department (ED) understand the Pediatric Readiness assessment score and support your use of the assessment to successfully improve the care of children in your ED.


The National Pediatric Readiness assessment includes questions that address the following areas of the Joint Policy Statement: Guidelines for the Care of Children in the Emergency Department:

- Administration and Coordination;
- Physicians, Nurses, and Other ED Staff;
- QI/PI in the Emergency Department (ED);
- Pediatric Patient Safety;
- Policies, Procedures, and Protocols; and
- Equipment, Supplies, and Medications

To access a print copy of the assessment, download Pediatric Readiness Assessment and Scoring. This document not only includes a copy of the assessment, but also the scoring matrix that was used to generate an overall pediatric readiness score for each participating hospital. This information can be helpful for hospitals as they launch quality improvement efforts and want to track changes in their score over time.


On April 13, 2015, the first manuscript addressing key findings from the 2013-14 Peds Ready assessment was published online in JAMA Pediatrics. A few important data points highlighted in the article, include:

- The national overall hospital Pediatric Readiness score is 69%. Though this score is a marked improvement from an earlier assessment of pediatric readiness conducted in 2003, when the score was found to be 55%, there is still much work to be done.
- Only 47% of responding facilities had included pediatric specific considerations into their hospital disaster plans. Even those facilities where children are frequently cared for had opportunities to improve their disaster preparedness.
- Only 45% of hospital EDs reported having a pediatric care review process and only 58% of respondents had defined pediatric quality indicators.
- The presence of a physician and nurse pediatric emergency care coordinator (PECC) was associated with a higher adjusted median Pediatric Readiness score compare with no PECC.

For more information on the National Pediatric Readiness Project, please visit: