{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T01:53:07Z","timestamp":1790905987453,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Each year, 5.3 million children under 5 years of age die in low-resource settings, often due to delayed recognition of disease severity, inadequate treatment, or a lack of supplies. We describe the use of a comprehensive digital facility-readiness survey tool, recently developed by the Pediatric Sepsis Data CoLaboratory, which aims to identify target areas for quality improvement related to pediatric emergency and critical care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Facility-readiness surveys were conducted at six sub-Saharan African hospitals providing pediatric emergency and critical care in Uganda (n = 4) and Cameroon (n = 2). The tool is a 2-phase survey to assess readiness to provide pediatric essential emergency and critical care: (1) an \u201cenvironmental scan,\u201d focusing on infrastructure, availability, and functionality of resources, and (2) an \u201cobservational scan\u201d assessing the quality and safety of care through direct observation of patients receiving treatment for common diseases. Data were captured in a mobile application and the findings analyzed descriptively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Varying levels of facility readiness to provide pediatric emergency care were observed. Only 1 of 6 facilities had a qualified staff member to assess children for danger signs upon arrival, and only 2 of 6 had staff with skills to manage emergency conditions. Only 21% of essential medicines required for pediatric emergency and critical care were available at all six facilities. Most facilities had clean running water and soap or disinfectants, but most also experienced interruptions to their electricity supply. Less than half of patients received an appropriate discharge note and fewer received counseling on postdischarge care; follow-up was arranged in less than a quarter of cases.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>These pilot findings indicate that facilities are partially equipped and ready to provide pediatric emergency and critical care. This facility-readiness tool can be utilized in low-resource settings to assist hospital administrators and policymakers to determine priority areas to improve quality of care for the critically ill child.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003276","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T15:00:56Z","timestamp":1730818856000},"page":"94-103","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Assessment of Facility Readiness for Pediatric Emergency and Critical Care Utilizing a 2-Phase Survey Conducted in Six Hospitals in Uganda and Cameroon: A Quality Improvement Study"],"prefix":"10.1097","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6519-1563","authenticated-orcid":false,"given":"Bella","family":"Hwang","sequence":"first","affiliation":[{"name":"Institute for Global Health, BC Children's and Women's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Trawin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suiyven","family":"Dzelamunyuy","sequence":"additional","affiliation":[{"name":"Cameroon Association of Critical Care Nurses, Bamenda, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew O.","family":"Wiens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abner","family":"Tagoola","sequence":"additional","affiliation":[{"name":"Uganda Ministry of Health, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Businge","sequence":"additional","affiliation":[{"name":"Holy Innocents Children's Hospital, Mbarara, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Jabornisky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odiraa","family":"Nwankwor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Karlovich","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine, Department of Pediatrics, Cooper University Hospital, NJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tagbo","family":"Oguonu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Nigeria, Teaching Hospital, Ituku\/Ozalla, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuella","family":"Talla","sequence":"additional","affiliation":[{"name":"BC Children's Hospital Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie K.","family":"Novakowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jollee S.T.","family":"Fung","sequence":"additional","affiliation":[{"name":"Institute for Global Health, BC Children's and Women's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8382-5136","authenticated-orcid":false,"given":"Nicholas","family":"West","sequence":"additional","affiliation":[{"name":"BC Children's Hospital Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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