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Articles Tagged With: bias

  • Triage: When Relying on Historical Data, Do Not Apply Bias from Past Decisions

    There is no denying that in a system that relies heavily on clinician judgment regarding acuity designations, bias can influence triage decisions. Indeed, among the disparities identified in the study into Emergency Severity Index triage accuracy was that Black patients had a 4.6% greater relative risk of overtriage and an 18.5% greater relative risk of undertriage when compared with white patients.

  • Managing Homeless Patients in the ED

    It can be frustrating to emergency providers to care for patients who they know will have a hard time following through on prescribed treatments or directions because they lack access to housing. Yet, coming into contact with such patients is hardly a rare occurrence, particularly in busy urban settings.

  • Many Patients Perceive Discrimination at ED Visit

    Is a patient unhappy with the way they were treated in the ED? Some patients might assume they received poor care because of their race, gender, or age, or because of their appearance, income, or health literacy level.

  • Is There Racial Tension Among Your Staff?

    A sweeping survey on racism by the Robert Wood Johnson Foundation yielded some damning findings about nurse-to-nurse racism. A staggering 72% of Black nurses reported experiencing racial discrimination from their own nurse colleagues. The patient level was higher at 88%, but racial incidents involving so many colleagues is disturbing, considering nurses are perennially voted the “most trusted” profession.

  • Tackling Bias in Healthcare Requires Awareness, Data-Gathering, and High-Level Commitment

    Healthcare systems have collectively turned their attention to promoting equity and rooting out bias. The results of a recently published study of how emergency nurses experience and react to bias suggests much work remains. Further, the authors maintained significant change is likely to require a firm commitment from the upper ranks of institutions to ensure equity is not just a slogan.

  • Bias and Stigma Hinder Effective Obesity Treatment

    The industry is moving away from a hierarchy of care where a primary provider tells the patient what they ought to do. Instead, the model is moving toward shared decision-making.

  • Two Strikes? A Black Woman’s Experience Working in Healthcare

    In the wake of the disparities in patient care exposed by the pandemic, healthcare continues a racial reckoning that now includes clinicians and employees. Black women in healthcare face entrenched racism daily, from the death by a thousand cuts of microaggressions to the longstanding barriers to leadership positions.

  • Bias-Free Reproductive Health Counseling Can Improve Patient Autonomy

    Counseling patients on their contraception choices has always been difficult, but the stakes are higher now in the post-Roe era. New research about provider bias and empowering women to make their own decisions suggests ways to improve contraception counseling.

  • Cultural Humility and Other Training for Contraceptive Care Providers

    Reproductive health providers might believe they provide unbiased contraceptive counseling, but research shows that this is not always the case. A recent study revealed that providers who said they embraced patient-centered care had used negotiating, withholding information, and delaying tactics to prevent patients from removing an IUD early.

  • Suggestions for Teaching Staff How to Counsel Without Bias, Persuasion

    Research helps inform training tactics for reproductive health staff on providing contraceptive counseling in a way that patients perceive is unbiased and with cultural humility. These methods can establish trust with patients and improve contraceptive care.