{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:53:35Z","timestamp":1782867215528,"version":"3.54.5"},"reference-count":41,"publisher":"American Academy of Pediatrics (AAP)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n To examine whether disparities in preventable adverse events (AEs) and family experience for hospitalized children of parents with and without limited comfort with English (LCE) changed following implementation of a health literacy\u2013informed, structured family-centered rounds intervention, Patient and Family Centered I-PASS.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Seven-center prospective before and after intervention study conducted from December 2014 to January 2017. Inclusion criteria includes parents and caregivers of hospitalized children less than 18\u00a0years old. LCE defined as parent and caregiver reporting any language other than English as the language in which they were most comfortable speaking to physicians and nurses. Preventable AE rates determined via (1) daily medical record surveillance, solicited clinician reports, hospital incident reports, and family safety interviews, followed by (2) dual-physician masked review and consensus rating. Changes assessed through multivariable mixed-effects logistic regression, controlling for complex chronic conditions, length of stay, parent race and ethnicity, education, and clustering by site. Family experience assessed via predischarge survey (6 domains, 5-point scale). Mixed-effects linear regression estimated changes in mean domain scores by language comfort.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Of 1666 patients, 8.8% (n\u2009=\u2009147) had parents with LCE. Preimplementation, over twice as many children of parents expressing LCE experienced preventable AEs, compared with children of parents expressing comfort with English (18.8% vs 7.6%; P\u2009=\u2009.001; adjusted odds ratio, 3.29; 95% CI, 1.48\u20137.31). Postimplementation, there were no significant differences between groups (6.4 vs 5.3%; P\u2009=\u2009.68; adjusted odds ratio, 1.26; 95% CI, 0.42\u20133.75). Some domains of family experience improved for both groups, although disparities in experience persisted in nurse communication.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Patient safety disparities related to parental comfort with English narrowed after implementing a family-centered rounds communication intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2025-008963","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:03:06Z","timestamp":1782172986000},"page":"583-591","source":"Crossref","is-referenced-by-count":0,"title":["Language-Related Safety Disparities Following a Health Literacy\u2013Informed Rounds Intervention"],"prefix":"10.1542","volume":"16","author":[{"given":"H. Shonna","family":"Yin","sequence":"first","affiliation":[{"name":"1Division of General Pediatrics, Department of Pediatrics, New York University (NYU) Grossman School of Medicine, New York, New York"},{"name":"2Department of Population Health, NYU Grossman School of Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisa","family":"Khan","sequence":"additional","affiliation":[{"name":"3Division of General Pediatrics, Department of Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"4Department of Pediatrics, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander F.","family":"Glick","sequence":"additional","affiliation":[{"name":"5Division of Pediatric Hospital Medicine, Department of Pediatrics, NYU Grossman School of Medicine, New York, New York"},{"name":"6Bellevue Hospital Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionne A.","family":"Graham","sequence":"additional","affiliation":[{"name":"4Department of Pediatrics, Harvard Medical School, Boston, Massachusetts"},{"name":"7Program for Patient Safety and Quality, Boston Children\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilma","family":"Alvarado-Little","sequence":"additional","affiliation":[{"name":"8New York State Department of Health, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer D.","family":"Baird","sequence":"additional","affiliation":[{"name":"9Institute for Nursing and Interprofessional Research, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Cray","sequence":"additional","affiliation":[{"name":"10Department of Pediatrics, St. Christopher\u2019s Hospital for Children, Philadelphia, Pennsylvania"},{"name":"11Patient and Family Centered I-PASS LISTEN Family Advisory Council, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandini","family":"Mallick","sequence":"additional","affiliation":[{"name":"3Division of General Pediatrics, Department of Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"11Patient and Family Centered I-PASS LISTEN Family Advisory Council, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore C.","family":"Sectish","sequence":"additional","affiliation":[{"name":"3Division of General Pediatrics, Department of Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"4Department of Pediatrics, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy D.","family":"Spector","sequence":"additional","affiliation":[{"name":"12Department of Pediatrics, Drexel University College of Medicine, Philadelphia, Pennsylvania"},{"name":"13The Hedwig van Ameringen Executive Leadership in Academic Medicine Program, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benard P.","family":"Dreyer","sequence":"additional","affiliation":[{"name":"1Division of General Pediatrics, Department of Pediatrics, New York University (NYU) Grossman School of Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Landrigan","sequence":"additional","affiliation":[{"name":"3Division of General Pediatrics, Department of Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts"},{"name":"4Department of Pediatrics, Harvard Medical School, Boston, Massachusetts"},{"name":"14Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women\u2019s Hospital, Boston, Massachusetts"},{"name":"15Department of Medicine and 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