Evidence map›Paper›PMID 42368900›Full record

ReviewInternational journal of pediatrics2026

Quality Improvement Initiatives in Pediatric Emergency Care in Low-Resource Settings: Addressing Patient Safety and Outcomes.

Chibuike Daniel Onyejesi, Abenezer Kebede, Eslam Abady, Muhammad Azan Shahid, Chukwunonye Onyeka Ogbuji, Rayan Raed Salahaldin, Zainab Ibrahim Mohamed, Olalekan John Okesanya, Yenifer Milagros Aponte, Mohamed Alsabri

Abstract readReview
In one paragraph

Review in International journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chibuike Daniel OnyejesiPediatrics, Lincoln Medical Center, Bronx, New York, USA, linmed.org.ORCID https://orcid.org/0000-0002-8645-7487
Abenezer KebedePediatrics, Lincoln Medical Center, Bronx, New York, USA, linmed.org.ORCID https://orcid.org/0009-0002-4319-9921
Eslam AbadyDepartment of Internal Medicine, Tanta University, Tanta, Gharbia Governorate, Egypt, tanta.edu.eg.ORCID https://orcid.org/0009-0007-2087-3297
Muhammad Azan ShahidCUNY Brooklyn College, New York City, New York, USA, cuny.edu.ORCID https://orcid.org/0009-0009-6487-8860
Chukwunonye Onyeka OgbujiPediatrics, University of Illinois Chicago, Peoria, Illinois, USA, uic.edu.ORCID https://orcid.org/0009-0005-6441-1436
Rayan Raed SalahaldinFaculty of Medicine, Al Quds University, Jerusalem, State of Palestine, alquds.edu.ORCID https://orcid.org/0009-0005-8664-015X
Zainab Ibrahim MohamedFaculty of Medicine, Suez Canal University, Ismailia, Egypt, scuegypt.edu.eg.ORCID https://orcid.org/0009-0001-2279-7028
Olalekan John OkesanyaNeuropsychiatric Hospital Aro, Abeokuta, Nigeria.ORCID https://orcid.org/0000-0002-3809-4271
Yenifer Milagros AponteUniversidad Centroccidental Lisandro Alvarado, Barquisimeto, Lara, Venezuela, ucla.edu.ve.
Mohamed AlsabriSt. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7278-2289

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pediatric emergency care (PEC) in low-resource settings faces systemic challenges, including inadequate infrastructure, workforce shortages, and supply chain inefficiencies, which contribute to preventable morbidity and mortality. Quality improvement (QI) initiatives offer a structured framework to address these challenges, enhance patient safety, and improve clinical outcomes. Methods: A narrative review was conducted using literature identified from PubMed and Google Scholar, supplemented by reports and guidance documents from the World Health Organization and nongovernmental organizations. Search terms included combinations of "pediatric emergency care," "quality improvement," "patient safety," "low-resource settings," "LMICs," "triage," "task shifting," "telemedicine," "digital health," and "community health workers." Eligible sources included primary studies, reviews, implementation reports, and policy documents addressing QI interventions, implementation barriers, facilitators, or outcomes relevant to PEC in low-resource settings. Results: Included studies reported improvements in triage reliability, time to treatment, guideline adherence, patient-flow organization, workforce capacity, and data availability. Several triage- and ETAT-based interventions reported reductions in pediatric mortality or improved time-sensitive care processes, whereas digital health interventions improved triage completion, referral monitoring, and real-time decision support. Key enablers included local adaptation, staff training, audit and feedback, interdisciplinary collaboration, community engagement, and sustainable governance structures. Conclusion: Strengthening QI initiatives is essential to achieving global health goals and ensuring equitable healthcare access for children in resource-limited settings. Sustainable, evidence-based interventions are critical for building resilient PEC systems and optimizing workflows.

Identifiers

PMID42368900
PMCPMC13307193

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.