NPRQI's 28 measures, developed through a modified Delphi process with input from 25+ professional organizations and experts, are designed to improve pediatric outcomes. These measures take a holistic approach, addressing all aspects of an ED triage and medical history, diagnostic tests, treatment interventions, and patient transitions (discharge, admission, or transfer). Read our publication on how the measures were chosen. For a deeper look at how the specific NPRQI and PRQC measures were selected, including the rationale behind key focus areas, click here to view the full explanation and references.


Focused on seven common pediatric conditions, EDs can track any number of these measures to ensure comprehensive care.

Common Pediatric Conditions Breakdown of Measures

Assessment
  • Percentage of pediatric patients with a weight documented in kilograms only
  • Percentage of pediatric patients with pain assessed
  • Percentage of high acuity pediatric patients with vital signs re-assessed
  • ED length of stay
  • Median time from triage to first intervention

Interfacility Transfer
  • Percentage of transferred pediatric patients who met the site-specific criteria for transfers
  • Percentage of transferred pediatric patients that were discharged from the receiving center within 24 hours of arrival
  • Median time from ED arrival to transport

Blunt Head Trauma
  • Percentage of pediatric patients with a full set of vital signs obtained
  • Percentage of pediatric patients with a Glasgow Coma Scale reassessment
  • Percentage of pediatric patients with a head CT that met one or more of the PECARN criteria
  • Percentage of pediatric patients that received hypotonic saline

Seizures
  • Percentage of pediatric patients who had a mental status reassessment
  • Percentage of high acuity seizure patients who received at least one non-benzodiazepine anti-epileptic medication
  • Percentage of pediatric patients who underwent head CT
  • Percentage of pediatric patients who underwent laboratory evaluation

Respiratory Complaints
  • Percentage of pediatric patients with asthma or croup that received a steroid
  • Percentage of pediatric patients >2 yrs. old with a diagnosis of asthma that received a beta-agonist
  • Percentage of pediatric patients that received an antibiotic
  • Percentage of pediatric patients that underwent a chest X-ray
  • Median time to steroids in patients diagnosed with asthma or croup
  • Median time to beta-agonist administration in patients >2 years with a diagnosis of asthma

Vomiting
  • Percentage of pediatric patients who received an antiemetic
  • Percentage of patients who received oral rehydration
  • Median time from ED triage to first antiemetic

Suicidality
  • Percentage of adolescent patients who had a structured suicide screen
  • Percentage of patients with a positive suicide screen who had a structured suicide assessment
  • Percentage of patients with a positive suicide screen who had a consultation with a licensed mental health professional
  • Percentage of discharged patients with a positive suicide screen that received a discharge safety plan

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