PEACH Projects

Project Lead: Victor Hong

Question(s): Do patients who identify as transgender or non-binary experience longer length of stay in the hospital due to wait times for private rooms?

Project Lead: Erin Kirkham and Mike Puglia

Question(s): Is there an inequity in surgical care related to pre-operative NPO (nothing by mouth) violations?

Project Lead: Jamie MacLaren

Question(s): Are there inequities by race, ethnicity, and language among inpatient patients who acquire a central line bloodstream infection (CLBSI) and in patients checked for compliance to the bundle?

Project Lead: Erica Andrist

Question(s): Are there inequities in care of patients with chronic critical illness and/or medical complexity?

Project Lead: Karen Wilson

Question(s): Do caregivers of pediatric patients (one and under) in cardiology receive the same rooming in requirements across racial and socioeconomic backgrounds? 

Project Lead: Keyonna Williams

Question(s): Are there differences in referral to Child Protective Services for specific injuries by race, ethnicity, income gradient and gender?

Project Lead: Whitney Muhlestein

Question(s): Is there a relationship between race and socioeconomic status and severity of neonatal brachial plexus palsy? Are there disparities in access to specialized care, including therapy and surgery?

Project Lead: Terrence Pleasant

Question(s): Does the practice of ear-tube insertion vary by race or socioeconomic status?

Project Lead: Rebecca Hong 

Question(s): Is there a difference in pain management between neuromuscular and idiopathic pediatric patients? Within the neuromuscular group, is there a difference if the patient is verbal versus nonverbal?

Project Lead: Anne Baetzel 

Question(s): Are there racial and socioeconomic differences among infants undergoing delayed circumcision (4-35 months) in terms of whether they receive awake spinal anesthesia or general anesthesia? 

Project Leads: Jason Weinberg, Liz Lloyd and Tim Schurz

Question(s): Did implementation of institutional guidelines for management of acute osteomyelitis improve patient outcomes and decrease variablity in treament based on race, ethnicity, primary language, SES and gender? Are there inequities currently present?

Project Leads: Dario Alvarez and Erin Carlton

Question(s): Does activation of the Rapid Response Team (RTT) vary by preferred language, SES (median income, ADI, and type of insurance), race, ethnicity, gender, and BMI? Amongst those with an RTT activated, is there a differentiation of timing of when the RRT is called for children admitted for a specific diagnosis (i.e., bronchiolitis)? Amongst those with an RRT called, does intubation within six hours of RRT vary by social factors? Amongst those with an RRT called, does use of vasoactive medications within six hours of RRT vary by social factors??

Project Lead: Elizabeth Speck and Nikhil Shah

Question(s): Are there differences in length of stay after laparoscopic appendectomy for uncomplicated appendicitis by race, ethnicity, language preference, income gradient and gender? If so, are these differences caused by the health system? Can a standardized protocol designed by the research team help increase equity in same-day discharge procedures?

Project Leads: Kimberly Slonaker, Anna McEvoy and Allison Cator

Question(s): Are there inequities in drug testing practices in Emergency Services for pediatric patients?

Project Leads: Breeanna Lorenzen and Prashant Mahajan

Question(s): Does use of restraints vary for pediatric patients by race, socioeconomic status, weight status, primary language spoken, and gender in Pediatric Emergency Services, Pediatric Psychiatric Emergency Services, and Adult Emergency Services?

Project Leads: Breeanna Lorenzen and Prashant Mahajan

Question(s): Amongst patients with specific psychiatric diagnoses, are there differences in evaluation and management of patients by race, ethnicity, socioeconomic status, gender and weight?

Project Lead: Maria Skoczylas, Amanda Costa and Lauren Oshman

Question(s):  Research has found that meconium drug screening on newborns varied by race at Michigan Medicine. Guidelines were implemented to standardize meconium drug screening  in 2023. Have the guidelines reduced variation by race?

Project Lead: Olivia Killeen and Grace Wang

Question(s): Are there differences in the rates of vision screenings across clinics for pediatric patients (3-5)? Do these differences contribute to racial and socioeconomic inequities in vision screenings?

Project Leads: Katherine Salada and Jodi Ehrmann

Question(s): Do children admitted to the general pediatric hospitalist service for growth faltering (previously known as "failure to thrive") vary by race/ethnicity, socioeconomic status, and primary language spoken in terms of: the threshold for admission, length of stay, social consultations received (e.g., social work and Children's Protective Services), and the threshold for discharge?

Project Lead: Rachael Pace

Question(s): Kangaroo care (skin-to-skin care) is vital to ensuring optimal immediate and long-term cognitive, social, and behavioral outcomes for children born preterm or with low birth weight.

Rachael Pace, a senior clinical information analyst in the Neonatology Division at Mott, posed the question: Is kangaroo care offered and experienced equitably across diverse patient populations in the Neonatal ICU?

This study indicated a significant gap in kangaroo care between White infants and infants of minority racial groups and is now in the quality improvement stage.

"This holistic care is the catalyst of so many great benefits and exemplifies our mission of prioritizing infants and families," said Pace.

Project Leads: Katie O'Brien and Monica Rosen

Question(s): Is there inequity in what adolescents are offered and who receives a diagnostic laparoscopy for dysmenorrhea based on race, ethnicity, socioeconomic status, and language preference? 

Project Lead: Angela Weyand

Question(s): Are adolescents equitably screened for iron deficiency with and without anemia? 

Project Lead: Ying Li

Question(s): For pediatric patients with scoliosis, do social factors such as race, ethnicity, and class impact the magnitude of the curve at the time of presentation to orthopaedics? Do no-shows and repeat cancelations vary by these social factors? What role does the health care system play in these outcomes?