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The National Pediatric Readiness Quality Initiative: Empowering Emergency Departments to Improve Pediatric Care

Sanyukta Desai1, Elizabeth Edgerton2,3, Aaron R Jensen4,5

  • 1Assistant Professor, Department of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, TX, USA.

NEJM Catalyst Innovations in Care Delivery
|July 8, 2026
PubMed

Insights

The National Pediatric Readiness Quality Initiative (NPRQI) improves pediatric emergency care quality by providing data insights and standardized measures for all emergency departments (EDs). This initiative aims to reduce mortality risk for critically ill children through enhanced quality improvement (QI).

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Quality Improvement Science

Background:

  • Over 80% of pediatric emergency visits occur in non-pediatric emergency departments (EDs).
  • Continuous quality improvement (QI) is crucial for pediatric readiness and patient outcomes, potentially reducing mortality risk by 76%.
  • Fewer than one-third of EDs utilize quality indicators for pediatric care evaluation, facing barriers like lack of standards and data challenges.

Purpose of the Study:

  • To introduce the National Pediatric Readiness Quality Initiative (NPRQI) as a solution to barriers in pediatric QI.
  • To empower ED healthcare teams with real-time insights into pediatric emergency care quality.
  • To establish national standards for pediatric emergency care.

Main Methods:

  • The NPRQI provides nationally vetted pediatric quality measures applicable to all ED types.
  • It offers standardized data collection, performance visualization, and benchmarking.
  • A free, secure web-based platform facilitates rapid interpretation and action by healthcare teams.

Main Results:

  • Since its 2023 launch, the NPRQI has engaged over 100 diverse EDs across 26 states.
  • The platform addresses barriers by offering standardized measures, data tools, and a direct provider interface.
  • It aims to accelerate the adoption of evidence-based clinical processes.

Conclusions:

  • The NPRQI is poised to establish the first national standards for pediatric emergency care.
  • It seeks to transform pediatric emergency care through data transparency and benchmarking.
  • The initiative supports QI in all ED settings, regardless of resources or patient volume.

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