{"pk":17566,"title":"Gaps in the Identification of Child Race and Ethnicity in a Pediatric Emergency Department","subtitle":null,"abstract":"Introduction: Race and ethnicity are social constructs that are associated with meaningful health inequities. To address health disparities, it is essential to have valid, reliable race and ethnicity data. We compared child race and ethnicity as identified by the parent with that reported in the electronic health record (EHR).\nMethods: A convenience sample of parents of pediatric emergency department (PED) patients completed a tablet-based questionnaire (February-May 2021). Parents identified their child’s race and ethnicity from options within a single category. We used chi-square to compare concordance between child race and ethnicity reported by the parent with that recorded in the EHR.\nResults: Of 219 approached parents, 206 (94%) completed questionnaires. Race and/or ethnicity were misidentified in the EHR for 56 children (27%). Misidentifications were most common among children whose parents identified them as multiracial (100% vs 15% of children identified as a single race, P < 0.001) or Hispanic (84% vs 17% of non-Hispanic children, P < 0.001), and children whose race and/or ethnicity differed from that of their parent (79% vs 18% of children with the same race and ethnicity as their parent, P < 0.001).\nConclusion: In this PED, misidentification of race and ethnicity was common. This study provides the basis for a multifaceted quality improvement effort at our institution. The quality of child race and ethnicity data in the emergency setting warrants further consideration across health equity efforts.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Pediatrics, Emergency Medicine, Disparities, Race and Ethnicity"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63d9848h","frozenauthors":[{"first_name":"Colleen","middle_name":"","last_name":"Gutman","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida \nUniversity of Florida, Department of Pediatrics, Gainesville, Florida","department":"None"},{"first_name":"K. Casey","middle_name":"","last_name":"Lion","name_suffix":"","institution":"University of Washington, Department of Pediatrics, Seattle, Washington \nCenter for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle, Washington","department":"None"},{"first_name":"Lauren","middle_name":"","last_name":"Waidner","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"LaShaun","middle_name":"","last_name":"Bryan","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"Anna","middle_name":"","last_name":"Sizemore","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"Carolyn","middle_name":"","last_name":"Holland","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida \nUniversity of Florida, Department of Pediatrics, Gainesville, Florida","department":"None"},{"first_name":"Cindy","middle_name":"","last_name":"Montero","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"Rosemarie","middle_name":"","last_name":"Fernandez","name_suffix":"","institution":"University of Florida, Department of Emergency Medicine, Gainesville, Florida; University of Florida College of Medicine, Center for Experiential Learning and Simulation, Gainesville, Florida","department":"None"}],"date_submitted":"2022-10-11T01:35:36+11:00","date_accepted":"2022-10-11T01:35:36+11:00","date_published":"2023-05-04T07:49:07+10:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17566/galley/8960/download/"}]}