The Unheard Patient: How Language Gaps Drive a Crisis in Pediatric Care
Published on
August 26, 2025
COO & Co-Founder, Jaide Health
The Unheard Patient: How Language Gaps Drive a Crisis in Pediatric Care
Published on
August 26, 2025
COO & Co-Founder, Jaide Health
Table of Contents

In the gap between good intentions and clear communication, a preventable medical error is born. This isn’t a rare system failure. It’s a daily reality in hospitals across the country. For millions of children from families with Limited English Proficiency (LEP), the healthcare system can be a place of confusion and risk, not healing and safety. Language barriers aren't just an inconvenience; they are a direct threat to patient safety, a driver of health inequity, and a source of profound distress for families.

The data tells a story of a silent epidemic, but also one of opportunity—a chance to bridge this divide with technology that ensures every child can be understood.

Language Divide

The challenge is immense and growing. In the U.S., there are over 5.3 million students classified as English Learners in public schools, and nearly one in four children has at least one immigrant parent. [1] The core issue in pediatric care isn't the child's English ability, but the parent's. When caregivers can't communicate effectively, their children's health is at risk.

These families are also more likely to face other hurdles. Children in LEP households are over three times more likely to be uninsured (17% vs. 5%) and less likely to have a primary care provider, forcing them to rely on emergency services for care. [2]

Clinical Impact

The Clinical Cost of Communication Failures

When communication breaks down, the consequences are measurable and severe. A mountain of evidence shows that language barriers lead to a cascade of negative outcomes that harm patients and strain hospital resources.

  • A Surge in Medical Errors: The most alarming outcome is the increased risk of physical harm. Hospitalized children from families with limited English comfort are nearly twice as likely to experience a medical error. [3] For Spanish-speaking families, the risk of a serious medical event is twofold higher than for English-speaking families. These aren't minor issues; they are often preventable events like incorrect medication dosing or allergic reactions. [4]

  • The Revolving Door of Readmissions: Language barriers create friction that leads to longer hospital stays and more unplanned return visits. For pediatric patients from non-Spanish speaking LEP families, the average length of stay can be 50% longer—an extra 59 hours in the hospital. [5] After discharge, children whose parents are language-discordant have higher odds of returning to the ER within 72 hours. [6] This revolving door points directly to failures in the discharge process, where families leave without a clear understanding of home care instructions.

  • A Breakdown in Follow-Up Care: The communication gap widens after a family leaves the hospital. LEP caregivers are 6.7 times more likely to report misunderstanding discharge instructions. [7] Lacking confidence in navigating the clinic's phone system, these families often bypass primary care for post-operative concerns and go straight to the ER. One study found non-English-speaking families were 9.3 times more likely to use the ED instead of calling the clinic with a question. [8]
Metric Outcomes for LEP Patients vs. English-Proficient Patients
Any Medical Error 17.7% of families report an event; nearly 2× as likely as English-proficient families. [3]
Serious Medical Events 2× higher odds for Spanish-speaking families. [4]
Hospital Length of Stay ~185 hours (avg. for non-Spanish LEP); 50% greater than English-proficient patients. [5]
ED Revisit (72 hours) 12% more likely to return to the ED within 72 hours. [6]
Misunderstood Discharge Instructions 6.7× more likely to misunderstand discharge instructions compared to English-proficient patients. [7]
Post-Op ED Use vs. Provider Contact 9.3× more likely to use ED instead of contacting provider directly. [8]

The Past

Why Traditional Language Services Aren't Enough

For decades, healthcare has tried to solve this with a patchwork of inadequate solutions.

The most common workaround—using family members or untrained staff as interpreters—is also the most dangerous. Untrained interpreters are prone to making clinically significant errors, and using children as interpreters places an unfair and traumatic burden on them. It compromises confidentiality and is a breach of the standard of care.

Even professional services have limitations. Access can be slow and cumbersome, especially for less common languages or during off-hours. For the countless brief, unscheduled interactions that define nursing care, the friction of logging into a system or finding a VRI cart is often too high for a 30-second conversation. This friction leads clinicians to "get by" without an interpreter, perpetuating the cycle of risk.

The Future

Bridging the Divide with AI

To truly solve this crisis, we need a new approach—one that is instant, seamless, and integrated into the clinical workflow. Jaide Health was created to meet this need with a HIPAA-compliant, AI-driven platform for real-time medical interpretation and translation.

Jaide Health directly addresses the critical pain points that lead to poor outcomes:

  • Instant Spoken Interpretation: With the click of a button on any device, a clinician can initiate a high-quality, interpreted conversation in over 35 languages. This eliminates the waiting and scheduling hurdles, making it perfect for the frequent, unscheduled encounters that are crucial to inpatient care but are so often missed.

  • Seamless Written Translation: The platform provides instant, secure translation of vital documents like discharge summaries, medication plans, and after-visit instructions. It also enables real-time translation of patient portal messages, empowering families to ask follow-up questions from home and preventing unnecessary ER visits.

By removing the friction of communication, Jaide Health empowers healthcare systems to improve health equity, reduce the staggering costs associated with medical errors and preventable readmissions, and ensure compliance with federal mandates.

Anecdote

Thoughts from the Pediatric Intensive Care Unit

I remember a moment from my time as a RN in the Pediatric Intensive Care Unit. One evening, I noticed a family watching a soccer match on the TV. I had just had a brief, casual conversation about the same match with another family in English and saw how it put them at ease. I wanted to do the same for this family, but the language barrier made it impossible to have a spontaneous conversation. 

It’s in those brief, human interactions that the foundation of trust is built. If Jaide AI Interpretation was available back then, I could have simply pressed a button to talk to them, told them my favorite hospital food tip (children's hospitals often have the best cafeterias!), and shared a laugh. These are the small moments that make a family feel truly cared for and heard, not just treated, which ultimately helps us give them the best possible care.

Work with KidsX

A Commitment to Pediatric Innovation

Our commitment to solving these critical challenges in pediatric care has been recognized by leaders in the field. We are thrilled to announce that Jaide Health has been selected for the inaugural 2025 KidsX Agentic AI Sprint cohort.  

KidsX is at the forefront of accelerating pediatric innovation, and this new program is designed to implement leading AI solutions directly into member hospitals. Our selection underscores the urgent need for the solutions we provide and validates our approach to using AI-driven interpretation and translation to protect the most vulnerable patients. This partnership will help accelerate our vision for a more equitable healthcare system to the children who need it most.  

Next Steps

A Call to Action for Every Healthcare Leader

The evidence is clear. Language barriers are a systemic failure with devastating clinical, financial, and human costs. Continuing with the status quo is to accept a reality where a child’s safety is determined by the language their parents speak.

Addressing this is not just a moral imperative; it's a strategic one. By embracing innovative, AI-driven technology, we can finally provide the same high standard of care to every patient. It’s time to build a system where every family is heard, every instruction is understood, and every child is safe.

Ready to eliminate language as a barrier to care? Learn more about how Jaide Health can transform patient communication at your organization.

References

  1. National Center for Education Statistics. (2024). English Learners in Public Schools. Condition of Education. U.S. Department of Education, Institute of Education Sciences.

  2. Pillai D and Artiga S. (2023). Overview of Health Coverage and Care for Individuals with Limited English Proficiency. KFF. 
  1. Alice McCarthy. (2020). Language barriers linked with medical errors in hospitalized children. Boston Children’s Hospital. 
  1. Cohen AL, Rivara F, Marcuse EK, McPhillips H, Davis R. Are language barriers associated with serious medical events in hospitalized pediatric patients? Pediatrics. 2005 Sep;116(3):575-9. doi: 10.1542/peds.2005-0521. PMID: 16140695.

  2. Pilarz M, Rodriguez G, Jackson K, Rodriguez VA. The Impact of Non-English Language Preference on Pediatric Hospital Outcomes. Hosp Pediatr February 2023; 13 (3): 244–249. doi: 10.1542/hpeds.2022-006900

  3. Chu JN, Wong J, Bardach NS, Allen IE, Barr-Walker J, Sierra M, Sarkar U, Khoong EC. Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis. BMJ Qual Saf. 2024 Jun 19;33(7):456-469. doi: 10.1136/bmjqs-2023-016295. PMID: 38160059; PMCID: PMC11186734.

  4. Sternad L, Robledo O, Gregory K. Post-discharge communication with LEP caregivers of NICU infants: 552. American Journal of the Medical Sciences. 2025 Feb;369:S360-1.

  5. Dai X, Ryan MA, Clements AC, Tunkel DE, Links AR, Boss EF, Walsh JM. The Effect of Language Barriers at Discharge on Pediatric Adenotonsillectomy Outcomes and Healthcare Contact. Ann Otol Rhinol Laryngol. 2021 Jul;130(7):833-839. doi: 10.1177/0003489420980176. Epub 2020 Dec 15. PMID: 33319598.

About Jaide Health

Jaide Health is a technology company developing AI-powered healthcare-specific, foreign language interpretation and translation services. Leveraging recent advances in large language models, Jaide Health enables healthcare organizations to improve the overall experience for patients with Limited English Proficiency. Led by “techy clinicians” and security/privacy experts, Jaide Health is venture backed by Inovia Capital, Flare Capital, and Innovation Global. Follow us on LinkedIn and visit www.jaide-health.com to learn more.

Connect with Jaide Health

Follow us on LinkedIn and visit www.jaide-health.com to learn more.

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