Achievable Benchmarks of Care in Pediatric Emergency Departments
JAMA Network Open 10.1001/jamanetworkopen.2026.13391May 19, 2026 at 11:00 AM EDT
What are achievable benchmarks of care (ABC) for common pediatric emergency medicine conditions and processes?This cross-sectional study including 12 pediatric emergency hospitals and community affiliate sites representing over 5.5 million visits calculated ABCs for common pediatric emergency concerns (asthma, infections, and pain), emergency readiness (vital sign assessment, timeliness of care, throughput measures), and quality and safety (return visits). Quality metrics varied widely across sites, particularly in documentation, pain reduction, and asthma treatment, while return admissions and antibiotic stewardship were consistent; throughput measures, such as time-to-clinician and length of stay, showed substantial variability across settings.This cross-sectional study describes how systematic and widespread collection of electronic health record data and harmonized rigorous operational definitions for performance and outcomes allowed for establishing benchmarks of care to guide emergency care stakeholders in efforts to improve care.
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