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  3. Language-related Safety Disparities Following A Health Literacy-informed Rounds Intervention.
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  3. Language-related Safety Disparities Following A Health Literacy-informed Rounds Intervention.

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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish
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Language-Related Safety Disparities Following a Health Literacy-Informed Rounds Intervention.

H Shonna Yin1,2, Alisa Khan3,4, Alexander F Glick5,6

  • 1Division of General Pediatrics, Department of Pediatrics, New York University (NYU) Grossman School of Medicine, New York, New York.

Hospital Pediatrics
|June 22, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

A new communication intervention significantly reduced preventable adverse events for hospitalized children whose parents had limited English comfort. This patient safety improvement narrowed disparities, enhancing care for diverse families.

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Area of Science:

  • Pediatric patient safety
  • Health communication
  • Health equity

Background:

  • Disparities in preventable adverse events (AEs) exist for hospitalized children whose parents have limited English comfort (LCE).
  • Structured communication interventions may improve patient safety and family experience.

Purpose of the Study:

  • To evaluate the impact of a health literacy-informed, family-centered rounds intervention on AEs and family experience in children with parents having LCE.
  • To determine if the intervention narrowed existing disparities in patient safety.

Main Methods:

  • A seven-center prospective before-and-after study.
  • Included hospitalized children (<18 years) and their parents/caregivers.
  • AEs assessed via medical record review, clinician reports, and family interviews; family experience via surveys.
  • Multivariable regression analyses controlled for confounders.

    • Main Results:

    • Pre-intervention, children of parents with LCE had over double the rate of preventable AEs (18.8% vs 7.6%).
    • Post-intervention, no significant difference in AE rates between groups (6.4% vs 5.3%).
    • Family experience improved, but disparities in nurse communication persisted.

    Conclusions:

    • Implementing a family-centered rounds communication intervention narrowed patient safety disparities.
    • The intervention shows promise for improving care equity in pediatric hospital settings.