Management of race, ethnicity, and language data in the pediatric emergency department

Colleen K Gutman^{1

2}, Emily A Hartford^{3

4}, Sasha Gifford⁵, Vanessa Ford⁶, Kamali Bouvay⁷, Michelle L Pickett⁸, Theresa T Tran⁹, Neh D Molyneaux Slade¹⁰, Mary Jane Piroutek¹¹, Sunhee Chung¹², Britta Roach¹³, Mark Hincapie¹⁴, Jennifer A Hoffmann¹⁵, Karen Lin¹⁶, Hannah Kotler¹⁷, Christian Pulcini^{18

19}, Jerri A Rose²⁰, Kelly R Bergmann²¹, Tabitha Cheng²², Ryan St Pierre Hetz¹⁴, Xinyu Yan²³, Xiang Yang Lou²³, Rosemarie Fernandez^{1

24}, Paul L Aronson^{25

26}, K Casey Lion^{3

27}; Pediatric Emergency Medicine Collaborative Research Committee Febrile Infants and Health Disparities Study Group

Collaborators, Affiliations

Collaborators

Pediatric Emergency Medicine Collaborative Research Committee Febrile Infants and Health Disparities Study Group:
Muhammad Waseem, Nidhi Singh, Rebecca S Green, Amy D Thompson, Kathleen Jackson, Nabila C Kalari, Samantha Lucrezia, Andrew Krack, Jacqueline B Corboy, Myto Duong, Bolanle Akinsola, Jessica Kelly, Laura F Sartori, Nirupama Kannikeswaran, Larissa L Truschel, Jessica L Chow, Jamie Chu, Leslie Dingeldein, Carly Theiler, Sonali Bhaldokar, Natalie J Tedford, Ahmed Lababidi

Affiliations

¹ Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA.
² Department of Pediatrics, College of Medicine, University of Florida, Gainesville, Florida, USA.
³ Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
⁴ Seattle Children's Hospital, Seattle, Washington, USA.
⁵ Ronald O. Perelman Department of Emergency Medicine, NYU Langone Health, New York, New York, USA.
⁶ Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, USA.
⁷ Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
⁸ Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
⁹ Division of Pediatric Emergency Medicine, Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
¹⁰ Department of Emergency Medicine, McGovern Medical School, UT Health Houston, Houston, Texas, USA.
¹¹ Department of Emergency Medicine, University of California Irvine and Children's Hospital of Orange County, Orange, California, USA.
¹² Department of Emergency Medicine and Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
¹³ Division of Pediatric Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.
¹⁴ Department of Pediatrics, University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
¹⁵ Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
¹⁶ Department of Pediatrics, Division of Pediatric Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
¹⁷ Division of Emergency Medicine, The George Washington University School of Medicine and Health Sciences and Children's National Health System, Washington, DC, USA.
¹⁸ Department of Emergency Medicine, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
¹⁹ Department of Pediatrics, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
²⁰ Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
²¹ Department of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, Minnesota, USA.
²² Department of Emergency Medicine, Harbor UCLA Medical Center and the David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
²³ Department of Biostatistics, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, Florida, USA.
²⁴ Center for Experiential Learning and Simulation, College of Medicine, University of Florida, Gainesville, Florida, USA.
²⁵ Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
²⁶ Department of Emergency Medicine, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
²⁷ Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.

PMID: 38808384
PMCID: PMC11577209 (available on 2025-11-01)
DOI: 10.1111/acem.14947

Management of race, ethnicity, and language data in the pediatric emergency department

Colleen K Gutman et al. Acad Emerg Med. 2024 Nov.

. 2024 Nov;31(11):1184-1187.

doi: 10.1111/acem.14947. Epub 2024 May 29.

Authors

Collaborators

Pediatric Emergency Medicine Collaborative Research Committee Febrile Infants and Health Disparities Study Group:
Muhammad Waseem, Nidhi Singh, Rebecca S Green, Amy D Thompson, Kathleen Jackson, Nabila C Kalari, Samantha Lucrezia, Andrew Krack, Jacqueline B Corboy, Myto Duong, Bolanle Akinsola, Jessica Kelly, Laura F Sartori, Nirupama Kannikeswaran, Larissa L Truschel, Jessica L Chow, Jamie Chu, Leslie Dingeldein, Carly Theiler, Sonali Bhaldokar, Natalie J Tedford, Ahmed Lababidi

Affiliations

¹ Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA.
² Department of Pediatrics, College of Medicine, University of Florida, Gainesville, Florida, USA.
³ Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
⁴ Seattle Children's Hospital, Seattle, Washington, USA.
⁵ Ronald O. Perelman Department of Emergency Medicine, NYU Langone Health, New York, New York, USA.
⁶ Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, USA.
⁷ Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
⁸ Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
⁹ Division of Pediatric Emergency Medicine, Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
¹⁰ Department of Emergency Medicine, McGovern Medical School, UT Health Houston, Houston, Texas, USA.
¹¹ Department of Emergency Medicine, University of California Irvine and Children's Hospital of Orange County, Orange, California, USA.
¹² Department of Emergency Medicine and Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
¹³ Division of Pediatric Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.
¹⁴ Department of Pediatrics, University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
¹⁵ Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
¹⁶ Department of Pediatrics, Division of Pediatric Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
¹⁷ Division of Emergency Medicine, The George Washington University School of Medicine and Health Sciences and Children's National Health System, Washington, DC, USA.
¹⁸ Department of Emergency Medicine, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
¹⁹ Department of Pediatrics, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
²⁰ Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
²¹ Department of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, Minnesota, USA.
²² Department of Emergency Medicine, Harbor UCLA Medical Center and the David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
²³ Department of Biostatistics, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, Florida, USA.
²⁴ Center for Experiential Learning and Simulation, College of Medicine, University of Florida, Gainesville, Florida, USA.
²⁵ Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
²⁶ Department of Emergency Medicine, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
²⁷ Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.

PMID: 38808384
PMCID: PMC11577209 (available on 2025-11-01)
DOI: 10.1111/acem.14947

Abstract

In this secondary analysis of a multicenter investigation, we describe several gaps in the collection and management of pediatric race, ethnicity, and language data. These findings highlight the ongoing need for reliable data management processes as a crucial step toward advancing pediatric health equity.

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Conflict of interest statement

Conflict of Interest Disclosures (includes financial disclosures): The authors have no conflicts of interest to disclose.

References

1. Gutman CK, Hall JE, Lion KC. Emergency Department Pediatric Readiness and the Search for Solutions That Promote Child Health Equity. JAMA Netw Open. 2023;6(9):e2332168. doi:10.1001/jamanetworkopen.2023.32168 - DOI - PubMed
1. Hartford EA, Thomas AA, Kerwin O, Usoro E, Yoshida H, Burns B, et al. Toward Improving Patient Equity in a Pediatric Emergency Department: A Framework for Implementation. Ann Emerg Med. 2023;0(0). doi:10.1016/j.annemergmed.2022.11.015 - DOI - PubMed
1. Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement. Accessed July 23, 2020. http://www.ahrq.gov/research/findings/final-reports/iomracereport/index.... - PubMed
1. Flanagin A, Frey T, Christiansen SL, AMA Manual of Style Committee. Updated Guidance on the Reporting of Race and Ethnicity in Medical and Science Journals. JAMA. 2021;326(7):621–627. doi:10.1001/jama.2021.13304 - DOI - PubMed
1. Gutman CK, Aronson PL, Singh NV, Pickett ML, Bouvay K, Green RS, et al. Race, Ethnicity, Language, and the Treatment of Low-Risk Febrile Infants. JAMA Pediatr. 2024;178(1):55–64. doi:10.1001/jamapediatrics.2023.4890 - DOI - PMC - PubMed

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Management of race, ethnicity, and language data in the pediatric emergency department

Collaborators

Affiliations

Management of race, ethnicity, and language data in the pediatric emergency department

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

References

Grants and funding

LinkOut - more resources

Full Text Sources