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Paediatric readiness assessment tools in emergency care: a scoping review

Freya Guinness1,2, John Coveney3, Tiara Naidoo3

  • 1Paediatric Emergency Research and Innovation (PERI), Department of Paediatric Emergency Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland guinnesf@tcd.ie.

Archives of Disease in Childhood
|June 30, 2026
PubMed

Insights

Paediatric emergency readiness assessment tools vary globally but share core domains like staffing and equipment. Harmonizing these domains can improve international comparisons while allowing for local health system needs.

Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Public Health

Background:

  • Hospital-based emergency departments require robust paediatric readiness.
  • Assessing paediatric emergency preparedness is crucial for patient outcomes.
  • Existing assessment tools exhibit significant international variation.

Purpose of the Study:

  • To identify and compare paediatric emergency readiness assessment tools.
  • To map the structural domains, scoring, and implementation of these tools.
  • To analyze their application across diverse healthcare settings.

Main Methods:

  • A scoping review was conducted using Joanna Briggs Institute methodology.
  • The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.
  • International literature on paediatric emergency readiness assessment frameworks was systematically searched.

Main Results:

  • Paediatric emergency readiness assessment tools show considerable international heterogeneity.
  • Core structural domains commonly include staffing, equipment, and governance.
  • System-level factors like infrastructure, culture, and digital integration are inconsistently addressed.

Conclusions:

  • Harmonizing core readiness domains can facilitate international benchmarking.
  • Contextual adaptation of assessment tools across health systems is essential.
  • Standardization efforts should consider both commonalities and system-specific needs.
Abstract

Keywords:
Child Health ServicesPaediatric Emergency Medicine

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