Pediatric Injury Equity Review: A New Approach for Identifying and Addressing Inequities in Injury Outcomes

Sunday, April 27, 2025

2:00pm – 3:30pm HST

Location: Convention Center: 302

CE: 1.5

Leader(s)

Michelle Macy, MD, MS (she/her/hers)

Professor
Pediatrics
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States

Co-Leader(s)

Sadiqa Kendi, MD, MPH (she/her/hers)

Associate Professor
Children's National Health System
Washington, District of Columbia, United States
Mark Zonfrillo, MD, MSCE (he/him/his)

Professor of Emergency Medicine and Pediatrics
The Warren Alpert Medical School of Brown University, United States
AC

Abby Collier, DrPH

Director
National Center for Fatality Review and Precention, United States
Andrew Kiragu, MD (he/him/his)

Associate Professor/Vice-Chief of Staff
Children's Minnesota
Minneapolis, Minnesota, United States
Kyran Quinlan, MD, MPH

Professor
Rush University Medical Center, United States

Disclosure(s):

Michelle Macy, MD, MS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Sadiqa A.I Kendi, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Mark R. Zonfrillo, MD, MSCE: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Abby Collier, DrPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Andrew W. Kiragu, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Kyran Quinlan, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop Description: The Injury Equity Framework (Kendi & Macy, NEJM 2023) presents a theoretical basis for identifying and analyzing factors that influence who is injured as well as the contributors and countermeasures that alter the severity of injuries and the injury outcome using an equity lens. The framework weaves the Cliff of Good Health developed by Jones et al into the Haddon Matrix. By overlaying historical and current societal factors that intersect with community, family and individual factors, we can gain new insights into injury inequities. The Pediatric Injury Equity Review (PIER) Process and Injury Equity Matrix are practical tools developed by Dr. Kendi for compiling data from various sources and analyzing injury events and patterns of injuries within the context of the Injury Equity Framework.

In this workshop we will provide an overview of the Injury Equity Framework and Matrix and then work in table groups through the 7-step PIER process with example child injury narratives and contextual data from four leading causes of fatal injury in childhood: sleep-related suffocation, drowning, motor vehicle collision, and firearm violence. The steps in the PEIR process provide a model for centering childhood injury prevention and mitigation strategies in equity: Step 1: identification of team members and partners, Step 2: Preparation of data, Step 3: Literature review for Injury Equity Matrix, Step 4: Case identification and review, Step 5: Data review, Step 6: Discussion of modifiable factors and recommendation development, Step 7: Recommendation refinement, dissemination, and implementation.

Learning Objectives:

Systematically review an injured child's narrative and contextual data to understand the community, societal, structural factors, contributors, and countermeasures that led to the injury outcome.
Work in teams through the Pediatric Injury Equity Review (PIER) process to develop equity-centered strategies to minimize future injury risk in US and global contexts.
Synthesize data from the PIER process to inform policy recommendations at local, regional, state, and national levels to eliminate systemic and structural contributors to injury inequities.