Unintended Consequences of A Quality Improvement Initiative on Racial Inequity in Newborn Drug Testing

Implementing a standardized policy and order set widened the inequity between Black and white newborns and increased testing rates for all newborns. Ongoing QI efforts include reevaluation of our approach to postnatal drug testing for prenatal cannabis exposure.

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Publication Details

Journal
Hospital Pediatrics
Published
2026-03-23
DOI
https://doi.org/10.1542/hpeds.2025-008748
Primary Topic
Prenatal Substance Exposure Effects
Type
article
Field-Weighted Citation Impact
0.00
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article

Unintended Consequences of A Quality Improvement Initiative on Racial Inequity in Newborn Drug Testing

Maria Skoczylas, Niko Kaciroti, Lauren D. Oshman, Amanda Augusto Costa et al.
Hospital Pediatrics
Prenatal Substance Exposure Effects
article

Unintended Consequences of A Quality Improvement Initiative on Racial Inequity in Newborn Drug Testing

Maria Skoczylas, Niko Kaciroti, Lauren D. Oshman, Amanda Augusto Costa, Bethany Anne Mohr, Alex Friedman Peahl, Kayla Gonzalez, Geetha Mogasala
article en

Abstract

Implementing a standardized policy and order set widened the inequity between Black and white newborns and increased testing rates for all newborns. Ongoing QI efforts include reevaluation of our approach to postnatal drug testing for prenatal cannabis exposure.

Hospital Pediatrics
University of Michigan (US), VA Ann Arbor Healthcare System (US), Michigan United (US), Michigan Medicine (US)
Openalex Percentile: Top 13%
Prenatal Substance Exposure Effects
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