ArticleCJEM2026
A multicomponent intervention for pediatric readiness in general emergency departments: a single-blind, matched-pair randomized controlled trial.
Article in CJEM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPediatric readiness, measured using the weighted pediatric readiness score (WPRS; 0-100), is associated with improved outcomes and lower mortality. A baseline assessment identified gaps across domains, with the lowest scores in coordination, staffing and training, and quality improvement, highlighting the need for targeted intervention. We evaluated the effectiveness of a multi-component, context-informed intervention on improving pediatric readiness in general EDs.
methodsWe conducted a single-blinded, matched pair randomized controlled trial in 17 general EDs (October 2022-May 2025). Sites were paired based on baseline WPRS, annual general ED volume, and distance from the provincial tertiary pediatric center and then randomized to a multi-component intervention or control. The intervention included a customized readiness report with discussion, pediatric resource toolkits, educational outreach, and ongoing support; control sites received the report only. Pediatric readiness was reassessed beginning six-month post-intervention using the Canadian adaptation of the National Pediatric Readiness Survey, from which WPRS is derived. The primary outcome was change in overall WPRS compared using Welch's t tests. Mixed-effects linear regression, with Bayesian analyses was conducted to strengthen confidence in the estimated intervention effects.
resultsSixteen general EDs (8 intervention, 8 control) completed follow-up. Median (IQR) post-intervention WPRS was 44.2 (14.7) for intervention sites and 53.9 (17.6) for control sites. Mean (SD) change in WPRS was - 1.2 (15.1) overall (intervention - 4.8 (16.7); control + 2.4 (13.4); p = 0.4). Post-intervention WPRS ranged from 38.2 to 79.3. Three sites achieved clinically meaningful improvement (> 10 points), nine remained stable, and four declined. No statistically significant intervention effects or covariate associations were identified. Performance was highest in the domains of patient safety and equipment and supplies, while quality improvement remained consistently lowest.
conclusionA low-intensity multi-component intervention showed varied change in mean WPRS between the randomized sites. Substantial site-level variation suggests that context-responsive and more intensive strategies may be required.
Indexed as
Identifiers
42579062What OpenQuestion holds
Registered trials
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.